Position Summary

Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

Essential Duties and Responsibilities

• Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols.
• Attends and participates in morning meetings/stand up 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 resident's 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.
• Performs utilization review activities to provide resident appropriate, timely and cost-effective care.
• Coordinate care with resident, care providers, facilities financial services, and third-party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from our facility.
• Ability to relate positively, effectively, and appropriately with residents, families, staff and professional colleagues.
• Accurate charting and ability to complete necessary paperwork in a timely manner.
• Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.
• Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners.
• Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Intermediate computer skills.
• Competence maintaining professional, respectful, honest interactions with residents/families and staff and partners.

Knowledge, Skills and Abilities

• Ability to read technical procedures.
• Ability to read and comprehend policy and procedure manuals.
• Ability to effectively present information and respond to questions from managers and employees
• Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
• Ability to solve practical problems.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• The essential functions of this position require the following physical abilities:
  • 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.
  • Close, distance, color, peripheral, and depth perception in vision: ability to adjust focus.
• 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.

Education & 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.
• PCC Knowledge.
• LVN/LPN Valid License or RN Valid Licensee 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.