What are the responsibilities and job description for the Case Manager position at Plaza Healthcare?
Job Description
Job Description
About You
We are seeking highly motivated and compassionate individuals to join our dynamic and diverse team. Plaza Healthcare offers a unique opportunity if you thrive in a culture of cooperation, accountability, and recognition.
About Us
Plaza Healthcare strives to be the leader in our community with a complete and unrelenting commitment to exceptional care. The measure of our success is rooted in exceeding the expectations of our patients, families, business partners, and employees.
We are a 179-bed CMS Rated 5-Star Skilled Nursing Facility located in South Scottsdale. Specializing in high-acuity post-acute care, our services include tracheostomy and ventilator care, dialysis, complex wound care, and rehabilitation. Plaza Healthcare is privately owned and has served Arizona and the surrounding States for over 30 years.
If you share our values and enthusiasm, you will find a home at Plaza Healthcare.
Job Description
As a Case Manager, you will oversee a designated group of patients and ensure they receive the appropriate level of care throughout their stay. This role involves collaboration with various healthcare professionals to coordinate treatment plans, facilitate communication among stakeholders, and promote positive patient outcomes.
Requirements
Responsibilities :
- Manage insurance authorizations, ensuring that necessary approvals are obtained for services rendered.
- Work closely with our Discharge Planner, ensuring patients are prepared for their transition to home or other care settings.
- Document patient progress and communicate updates to the healthcare team.
- Reviewing proposed treatments and procedures to ensure they are medically necessary and aligned with the managed care plan, including obtaining prior authorizations when required.
- Reviewing medical claims for accuracy and appropriateness, addressing any potential issues related to billing or coding.
- Conducting assessments of patients’ needs and developing individualized care plans.
- Coordinating services and resources required for patient care.
- Monitoring patient progress and modifying care plans as necessary.
- Facilitating communication among doctors, nurses, patients, and families.
- Ensuring compliance with healthcare regulations.
Qualifications :
Qualifications :
Benefits
EQUAL OPPORTUNITY EMPLOYER
We are an equal opportunity employer. We celebrate diversity & pride ourselves on creating an inclusive environment for all employees and residents.
Salary : $3
