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Interim Case Manager LVN

2 months ago

Monrovia, California, United States Cambridge HS Full time
Job Title: Interim Case Manager, LVN

At Cambridge HS, we are seeking an experienced Interim Case Manager, LVN to join our team.

Job Summary

The Interim Case Manager, LVN will be responsible for coordinating the delivery of services to managed care and Medicare residents in accordance with current federal, state, and local standards and regulations.

Key Responsibilities
  • Manage all types of insurance cases from admission through discharge
  • Follow up with residents' post-discharge follow up
  • Communicate by phone or in writing the resident's status and changes in care plan to payer
  • Document all payer interactions regarding resident progress and expected outcomes
  • Maximize benefits by coordination of cost-effective care
  • Meet with facility interdisciplinary team to coordinate services and ensure total regimen of resident care is achieved
  • Frequently speak with business office and collaborate with other departments to ensure accurate census and payment of residents
  • Daily review of medical records to confirm compliance with medical necessity
  • Plan and organize time and duties to efficiently maintain caseload
  • Report any occupational exposures to blood, body fluids, or other hazardous materials to a supervisor immediately
  • Protect each resident's file and data with confidentiality per HIPAA standards
  • Abide with all facility policies and procedures
Requirements
  • Completion of nursing training from accredited school or college
  • Valid nurse's license in good standing
  • Valid CPR and BLS card
  • Minimum of 1 year case management experience in skilled nursing facility preferred
  • Must have 5 or more years as a licensed nurse
  • Excellent verbal and written skills
  • Knowledge of Point Click Care helpful

Please note that every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management.