Case Manager I
2 weeks ago
Job Type
Full-time
Description
A Culture of Caring; is a place where seniors choose to live and employees desire to work. Our Leading advantages include:
- State-of-the-art Facilities
- On-demand Pay
- Benefits begin after 30 days
- Low-cost lunches
- Free Membership to our gym and indoor pool
- Shift differential
- Work-life Balance
- Growth
- Competitive Wages
The Davis Community requires that all current and new employees, including contract staff, receive an annual influenza vaccination and TB skin test unless a reasonable or disability accommodation is granted.
BASIC PURPOSE :
The Case Manager I is responsible for coordinating all facets of the guests stay and discharge plan in the Rehabilitation and Wellness Pavilion. The Coordinator will ensure that guests are acclimated to and satisfied with Pavilion services by working across departmental lines to ensure seamless delivery and coordination of services for the duration of the Guest stay.
MAJOR WORK ACTIVITIES :
1. Complete 48-hour Care Plan - Meet with guest and family member; provide introductions; staff contact information, medication list, Home Tender, and Davis Connections brochures. Discuss insurance Medicare 20 days, Navi health, Humana, BCBS, BCBS Federal, Aetna etc. and update emergency telephone numbers if necessary, and discuss discharge plan/goal. Call first emergency contact (unless guest says otherwise) if not in the room and explain the same and document.
2. Collaborate with interdisciplinary team to facilitate discharge planning and recommendations considering all aspects of the discharge process. Coordinate with IDT to ensure constant communication exchange of information at team meetings.
3. Develop collaborative relationships with other departments, entities and external health care agencies to facilitate and support quality of care and discharge planning.
4. Contact outside resources for continuum care such as Home Health Agencies as well as DME companies to ensure a safe discharge to include wellness opportunities at The Davis Community.
5. Act as an educational resource for guests, families, and interdisciplinary team members.
6. Schedule and facilitate family meetings for potential discharge as well as updates of resident progress.
7. Direct daily operations of record processing to ensure that discharge records are properly received, organized and forwarded to the appropriate physician for completion.
8. Daily communication guest/family contact, maintaining communication with physicians, guest care providers, and other team members regarding treatment plans in order to ascertain appropriate level of care, coordinate timely delivery of services, assist staff in identifying and addressing the learning needs of guest and families and intervene as appropriate.
9. Obtain information from medical record, interdisciplinary team, family members and the clients to assess client's capabilities, needs and interests.
10. Complete scheduled MDS assessments in a timely and accurate manner and develop care plan to meet needs of guest, based on needs assessment and client interest. Implement and follow through on care plan approaches. Document guest interactions, progress, and discharge plans in the guest medical record.
11. Collaborate with MDS nurse to update on any changes/discharge's/20 days/100 days/no secondary/federal BCBS/Humana/UHC/5day MDS etc.
12. Monitor/Assess performance of clients, personal performance and systems to make improvements or take corrective action.
13. Collaborate with therapy weekly in regards to updates/family meetings/discharges and email the updates from this meeting to physicians and NPAs.
14. Complete Life Source referral's as needed and fax to Life Source with a Physician/NP order/face sheet and wait for approval.
15. Perform 1:1 interaction and in- room visits to meet rehab needs and document outcome. Document any conversations/interactions with guests/family members.
16. Deliver resident/guest mail.
17. Assist guests with scheduling salon services.
18. Work with all disciplines to ensure all questions and needs are met to ensure customer satisfaction and good hospitality.
19. Distribute satisfaction surveys and collect prior to discharge.
20. Complete FL2 for long term care Medicaid to include physician signature. Submit to NC Tracks.
21. Submit work orders for rooms that need to be painted or repairs (broke items, missing clocks/remotes etc)
22. Work collaboratively with the other case manager for coverage ensuring consistent communication and systems are utilized.
23. Communicates facility philosophy, offered services and amenities to potential and new residents and/or their representatives.
24. Acts as liaison between transferring institutions and the Center by maintaining a good rapport.
25. Conducts tours for prospective residents.
26. Attend required committee meetings and continuing education as appropriate.
27. Advocate for resident's rights, educate residents, their families and staff regarding the rights of residents outline under state/federal guidelines.
28. Demonstrate strong leadership and communication skills that are effective in working with a variety of persons, including guest, public, coworkers, guest, outside agencies and medical staff.
29. Support management/department during time of stress or change.
30. Perform other duties and responsibilities as assigned by the Administrator.
Requirements
Knowledge, Skills and Working Conditions:
- Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
- Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
- Work at a brisk pace with completion of task that are accurate and thorough.
- Give full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times.
- Communicate effectively in writing as appropriate for the needs of the audience
- Must possess ability to self monitor
- Actively look for ways to help people
- Effectively utilize time management skills
- Select and use training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
- Must be computer literate and able to operate office equipment to include communication via telephone and other automation vehicles.
- Physical exertion required at least 50% of the time. Physical exertion also described as standing, stooping and bending. Intermittent lifting and caring objects weighing at least 25 lbs and pushing objects weighing at least 150 lbs.
- Moderate exposure to infectious disease and possible exposure to blood and body fluids.
- Work in well-lighted office areas. May be subject to noisy, hot or cold, humid, and busy environments with exposure to stress.
- Must possess leadership and organizational skills as well as willingness to cooperate with other departments.
- Experience in the use to client/resident care equipment.
- Visualize equipment and medical record forms.
- In an emergency, is expected to respond to verbal and nonverbal communication from residents' diverse stages of development, i.e adults and geriatrics
MINIMUM QUALIFICATIONS :
Education: High School Diploma required. Bachelor's Degree or Associates Degree preferred.
Licensure/ Certification: None.
Experience: Two years of related health care/case management/discharge planning/social work or recreation experience.
An equivalent combination of education and experience may be considered.
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