Golden Hill Post Acute is excited to announce that we have a TEMPORARY, full-time Case Manager position available for someone with the passion to care for others. We work together for a purpose greater than just a paycheck: to provide the same level of care that we would provide to the members of our very own families. We are very excited to learn more about you and your career goals!
We are a 99 bed skilled nursing facility in the heart of San Diego and offer a great opportunity to develop skills in the skilled nursing setting.
Competitive wages offered, compensation based on case management and healthcare experience.
- PAY: $41.50 - 50.00 / hourly DOE
- Skilled Nursing Facility experience is preferred
Experience:
- Must have, as a minimum, 3 years' experience in a supervisory capacity in a hospital, skilled nursing care facility, or other related medical facility.
- Licensed Nurse STRONGLY preferred.
Job Summary: Responsible for clinical and financial assessments of patients prior
to admission; Facilitates interdisciplinary planning and assists with outcome report completion; provides outcome data to payors and
Physicians on as needed basis; Also serves as care/cost liaison between patient, physician, care team members, payor, and discharge planner by coordinating, monitoring, and communicating patient’s progress: assists with coordination to most appropriate care level;
Requirements: Current active unrestricted LVN/RN license within California.
Responsibilities:
A. Role in the Admissions Process
1. Assesses prospective patients to evaluate care needs and determine suitability for admission. Communicates with payers to determine and verify coverage and adequate funding for required patient services and length of stay.
2. Calculates rate based on patient service needs and contracts with payer for care delivery.
3. Obtains accurate information from physicians, patients, family and payers regarding the expected discharge plan and communicates this information to the interdisciplinary team.
4. Assists the subacute program director/administrator with census management.
B. 1. Ongoing assessment of the patient’s clinical needs and determination of appropriateness for continued stay.
2. Objective evaluation of the interdisciplinary plans, determining barriers, clarifying realistic
Goals, and identifying potential alternatives involving physician, team members, patient and Family.
3. Initiation and implementation of plan modifications as necessary through monitoring and re-Evaluation to accommodate changes in treatment or progress.
4. Completion of progress reports to payor source as requested.
5. Obtain documentation of patient specific contract and payer information with generation of confirmation and verbal/written agreement from the payor source detailing reimbursement rate and terms.
6. Coordination and planning of health care services to promote necessary outcomes and timely discharge.
7. Assumption of the role as patient advocate to assure continuity of care and cost effective quality are with goals orientated outcomes.
C. Other Responsibilities
1. Provides documentation of contract or payor information on a timely basis to treatment team and business office and corporate staff.
2. Monitors, analyzes and reports: census and case study progress data.
3. Coordinates work between departments; maintains confidentiality of necessary information.
4. Thinks and acts logically, rationally and with flexibility in order to meet all unusual occurrences of the job.
5. Performs any miscellaneous work assignments as may be required.
Pay: $41.50 - $50.00 per hour
Benefits:
Application Question(s):
- What is your compensation expectation?
Experience:
- Case management: 3 years (Required)
Ability to Commute:
- San Diego, CA 92102 (Required)
Work Location: In person
