External Case Manager

2 weeks ago

Wyckoff, New Jersey, United States Christian Health Full time
About Christian Health

We are a leading provider of healthcare services, dedicated to delivering exceptional care and support to our residents and patients. Our mission is to provide a compassionate and collaborative environment that enables our team members to learn, grow, and shine in their careers.

Job Summary

We are seeking an experienced External Case Manager to join our Admissions department. The successful candidate will be responsible for interfacing with local community hospitals, fostering physician relationships, and coordinating the facilitation of admissions through clinical review of potential clients for admission.

Key Responsibilities
  • Refers sponsors to the Admissions Director for completion of tours, admission paperwork, and financial information.
  • Identifies and assists in coordinating the acquisition of any needed special equipment, supplies, or consultations.
  • Documents appropriate information as indicated and distributes to the MDS Coordinator, Supervisors manual, unit, Rehab, Social Services, COPS Nurse, and Food Services.
  • Communicates with the Admissions Director/DON/Administrator regarding census-driven needs, including room changes, inter-campus transfers, readmissions, etc.
  • Assesses the appropriateness of care at Christian Health.
  • Conducts pre-admission/re-admission assessment visits, providing information to assist in the completion of the MDS and initial nursing assessment in accordance with regulatory guidelines.
  • Demonstrates awareness of legal issues in all aspects of resident care and facility function and strives to manage situations in a manner that reduces risk.
  • Acts as a liaison with referral sources, i.e., hospitals, skilled nursing facilities, adult homes, assisted case managers, and community outreach programs (makes house calls when necessary).
  • Assesses and screens residents for utilization issues and confers with the IDC Team regarding specific cases.
  • Coordinates and facilitates the flow of patients into the skilled nursing facility.
  • Markets the facility programs and services to health-related audiences and consumers.
  • Tracks hospitalized patients across the long-term care program in order to facilitate re-admission to the facility (when appropriate).
  • Participates in activities related to clinical outcome data collection, as well as performance improvement.
  • Identifies resident and interdisciplinary team educational needs and confers with the Clinical Education department to provide educational resources to the interdisciplinary team (i.e., articles, handouts, posters, one-on-one teaching and/or demonstration) as well as coordinate resident-related in-services.
Requirements
  • Minimum of 2 years related experience, preferably in case management.
  • Thorough knowledge of Medicare PPS/MDS in a long-term care setting preferred, marketing, and program development.
  • Excellent interpersonal skills.
  • Maintains a liaison with residents, their families, support departments, etc. to adequately plan for the residents' needs.
  • Computer knowledge a must.
  • Valid driver's license required.
  • Gerontology preferred.
What We Offer

We offer a wide variety of benefits to full-time employees, including Health Insurance, a Dental Program, Paid Vacation and Holidays, 401k, Life Insurance, Tuition Reimbursement, Employee Assistance Program, and Direct Deposit.

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