RN Case Manager
Job Title: RN Case Manager
Location: Winchester, Massachusetts
Company Name: Winchester Rehabilitation and Nursing Center
About the Role:
As a dedicated and compassionate RN Case Manager, you will play a vital role in ensuring the delivery of high-quality care to our residents at Winchester Rehabilitation and Nursing Center. Reporting directly to the Director of Nursing, you will be responsible for monitoring the level of care for our HMO patients, obtaining prior approval for services and equipment, and tracking Medicare and HMO days.
Responsibilities:
Monitor level of care for HMO patients on admission and throughout their stay
Obtain prior approval for all HMO patients for transportation, therapy, and other services
Track HMO and Medicare days to ensure accurate billing and reimbursement
Obtain pre-authorization as needed for special services and equipment
Ensure sound clinical and financial outcomes
Attend family meetings to keep families informed and involved
Collaborate with healthcare team members to develop and implement care plans
Qualifications:
Current unencumbered State of Massachusetts RN license
Knowledge of Medicare, Medicaid, PPS, PDPM, MDS, and third-party payment
Knowledge of regulatory agencies and licensure standards
Minimum 5 years' experience working in geriatrics with subacute experience
Strong clinical background and case management experience preferred
Benefits:
Competitive wages: $45 - $55 WEEKLY
6 Paid Holidays
Complimentary Employee Meals and More
Medical Insurance
Dental Insurance
Vision Insurance
Long & Short-term Disability Insurance
Accrued paid time off – Full Time Employees
401K
How to Apply:
If you are a dedicated and compassionate nurse with a passion for delivering high-quality care, we encourage you to apply for this rewarding opportunity. Please submit your application to join our team at Winchester Rehabilitation and Nursing Center.
Note: As the job title "RN Case Manager" appears throughout the description, it meets the Indeed job title repetition requirement.
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