Demo

Case Mgmt Coordinator - RN - SAU

Kindred Hospital South Bay
Gardena, CA Other
POSTED ON 3/8/2025
AVAILABLE BEFORE 5/8/2025

Description

Kindred Transitional Care Hospitals has a career opportunity for you as a Case Management Coordinator - SAU! As a division of Kindred Healthcare, we play a vital role in the recovery process for chronic, critically ill and medically complex patients who require acute care and rehabilitation over an extended period.
 
Your career growth begins when you join an interdisciplinary team, where doctors, nurses, therapists and other experts work together to form individualized care plans for our patients and residents. Opportunities through our development programs, training seminars and university partnerships, not only allow for continual career growth but emphasize our commitment to investing in our employees and developing future healthcare leaders.
 
The goal of our team is to deliver intensive, multidisciplinary care and transition patients' home or to a lower level of care as quickly and safely as possible. Each employee's dedication is essential to meet and exceed the needs of each patient, resident and family we serve. Ranked as one of Fortune magazine's 'Most Admired Healthcare Company' for 9 years, Kindred welcomes you to join our team and build a career that touches lives as a Case Manager Coordinator - SAU.
 
As a Case Management Coordinator ' SAU, you will:
  • Oversees clinical reimbursement and case management services within the center for Medicare A and B, Managed Care, Insurance, and Medicaid (Case Mix).  Directs and oversees the implementation of Kindred's case management programs, policies and procedures related to Medicare, Medicaid (Case Mix), and Managed Care to ensure appropriate care is rendered and appropriate reimbursement is obtained.
  • Coordinates the timely and effective service delivery for Medicare and Managed Care residents while ensuring quality clinical outcomes with appropriate reimbursement.
  • Negotiates with the service providers, payers, and members of the center's care team to meet the resident's care needs.  (Includes: labs, x-ray, pharmacy, rehab, ambulance, equipment and supply needs, etc.).
  • Advocates on behalf of the resident and center for needed resident resources and services within the reimbursement continuum..
  • Works as the liaison between the center, the resident/family, Rehabilitation and other care providers.
  • Oversees and monitors MDS documentation and charting requirements that support services provided to meeting billing requirements.
     
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Qualifications

As a Case Management Coordinator – SAU,  you will have:
 
  • Graduated an accredited School of Nursing, BSN preferred
  • Valid RN license in the state employed
  • Three years of experience in a long term care environment preferred working directly with Medicare and Managed Care Services.
  • Experience with the MDS/RAI process and/or case management preferred
 
If you are a current Kindred/RehabCare employee Click Here.
 
 
 

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