What are the responsibilities and job description for the Case Manager position at The Pines at Glens Falls?
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A US News & World Report Best Nursing Home
The Pines at Glens Falls is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work and US News & World Report Best Nursing Home, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team!
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What You'll Do:
As a Case Manager, your advocacy will ensure our short-term, skilled nursing patients are medically stable with a safe discharge plan to promote success in the community and limit readmissions.
Key Responsibilities:
- Advocate for residents' rights and preferences
- Review clinical documentation to define expectations, criteria, and variables that will impact the care plan and outcomes
- Collaborate with treatment team to create a patient-centered case of medical necessity and rationale for skilled nursing coverage
- Provide rationale and supporting documentation regarding continuum of care to promote best practice outcomes and patient-centered discharge planning
- Develop and maintain relationships with insurance representatives and facilitate managed care team meetings
If you are a compassionate and organized healthcare professional with a passion for ensuring positive patient outcomes, consider joining our team as a Case Manager! Make a real difference in people's lives in an organization where your expertise and dedication are valued and appreciated.
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What We Offer
As an affiliate of National Health Care, our Glens Falls team enjoys:
- Competitive compensation
- Shift/weekend differentials where applicable
- Medical, dental and vision coverage options
- Weekly Pay
- Paid time off
- Opportunities for professional growth and development
- Supportive and collaborative work environment
- The chance to make a meaningful difference in the lives of our residents
Rate of Pay
USD $56,000.00 - USD $64,000.00 /Yr.-
What You'll Bring:
Qualifications of a Case Manager include:
- Valid state license or certification as RN, LPN, LICSW encouraged to apply
- Knowledge and understanding of Managed Care
- Interest in the nursing needs of the aged and the chronically ill with the ability to work with both
- Experience in skilled nursing facilities, clinical reimbursement, concurrent review and/or utilization management is desirable
- Experience/knowledge of Medicare guidelines, InterQual and/or McKesson
- Excellent communication and interpersonal abilities
- Must be proficient with Microsoft Office 365
- Ability to work effectively in a multidisciplinary team environment
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We Hire for Heart!
National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National’s centers are unique but share common values: Kindness, Service, Compassion and Excellence. Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.
Salary : $56,000 - $64,000
