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Overview
RN Resident Care Manager (Healthcare) Communicate regularly with residents and their families about Plans of Care, PT, OT and other treatment protocols. Attend and participate in morning meetings to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust residents' statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents’ needs in area(s) of responsibility. Complete documentation as required. Perform utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with residents, care providers, facilities financial services, and third party payers.
Responsibilities
Oversee all admissions and discharge activities.
Coordinate referrals both to and from the facility.
Ensure accurate charting and timely completion of necessary paperwork.
Relate positively, effectively, and appropriately with residents, families, staff and professional colleagues.
Work independently and exercise sound judgment in interactions with physicians, providers, payers and residents and their families.
Promote cooperation and collaboration among residents/families/caretakers, physicians, nurses and other ancillary partners.
Maintain excellent time management to develop organized work processes in a high-volume environment with rapidly changing priorities.
Demonstrate intermediate computer skills.
Ensure professional, respectful, honest interactions with residents/families, staff and partners.
Qualifications
Education and/or Experience:
Bachelor’s Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred. Knowledge of Medicare, Medi-cal and Medicaid programs and benefits.
Certifications and Licenses:
LVN/LPN Valid License or RN Valid License in the state you are working. Certificate as a Certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health; License and Certification Division at all times.
Knowledge, Language, and Skills:
PCC Knowledge. Ability to read technical procedures, policy and procedure manuals; effectively present information and respond to questions from managers and employees. Mathematical skills to apply fractions, percentages, ratios and proportions. Reasoning skills to solve practical problems and interpret various instructions.
Physical Demands
Standing and/or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and/or hearing very frequently. Tasting and/or smelling very frequently.
Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally.
Visual requirements: close, distance, color, peripheral, and depth perception; ability to adjust focus.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.
Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
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RN Resident Care Manager (Healthcare) Communicate regularly with residents and their families about Plans of Care, PT, OT and other treatment protocols. Attend and participate in morning meetings to facilitate communications with the team. Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care. Monitor and adjust residents' statuses based on changing needs and conditions. Organize and prioritize daily work by assessing new, current and discharging residents’ needs in area(s) of responsibility. Complete documentation as required. Perform utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with residents, care providers, facilities financial services, and third party payers.
Responsibilities
Oversee all admissions and discharge activities.
Coordinate referrals both to and from the facility.
Ensure accurate charting and timely completion of necessary paperwork.
Relate positively, effectively, and appropriately with residents, families, staff and professional colleagues.
Work independently and exercise sound judgment in interactions with physicians, providers, payers and residents and their families.
Promote cooperation and collaboration among residents/families/caretakers, physicians, nurses and other ancillary partners.
Maintain excellent time management to develop organized work processes in a high-volume environment with rapidly changing priorities.
Demonstrate intermediate computer skills.
Ensure professional, respectful, honest interactions with residents/families, staff and partners.
Qualifications
Education and/or Experience:
Bachelor’s Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred. Knowledge of Medicare, Medi-cal and Medicaid programs and benefits.
Certifications and Licenses:
LVN/LPN Valid License or RN Valid License in the state you are working. Certificate as a Certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health; License and Certification Division at all times.
Knowledge, Language, and Skills:
PCC Knowledge. Ability to read technical procedures, policy and procedure manuals; effectively present information and respond to questions from managers and employees. Mathematical skills to apply fractions, percentages, ratios and proportions. Reasoning skills to solve practical problems and interpret various instructions.
Physical Demands
Standing and/or walking very frequently. Sitting occasionally. Reaching with hands and arms frequently, pushing/pulling very frequently. Talking and/or hearing very frequently. Tasting and/or smelling very frequently.
Lifting up to 50 pounds frequently. Climbing, balancing, stooping, kneeling, crouching or crawling occasionally.
Visual requirements: close, distance, color, peripheral, and depth perception; ability to adjust focus.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.
Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
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