Director of Care Coordination

2 weeks ago


Tupelo Mississippi, United States Diversicare of Tupelo, LLC Full time
Job Summary

We are seeking a highly skilled and experienced Director of Care Coordination to join our team at Diversicare of Tupelo, LLC. As a key member of our leadership team, you will be responsible for overseeing the care coordination process, ensuring seamless transitions, and promoting exceptional patient outcomes.

Key Responsibilities
  • Facilitate daily care coordination meetings to align care resources with patient needs and benefits.
  • Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.
  • Manage the restorative nursing program, integrating it with the activity department.
  • Ensure timely communication with patients and families regarding changes in condition and discharge planning.
  • Collaborate with the clinical team to develop and execute care plans.
  • Coordinate discharge planning and post-discharge communication, including home health and DME.
  • Monitor Quality Measures alongside the care coordination team.
  • Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.
  • Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.
Requirements
  • Degree in nursing, therapy, or other related clinical field (i.e. social services), must hold a current license in respective field.
  • Knowledge of healthcare reimbursement, utilization management, and discharge planning.
  • Experience providing strategic leadership, managing teams, and leading projects required.
  • Ability to formulate and implement short and long-term strategic plans.
  • Strong verbal, written, and interpersonal skills.
  • Must have proven ability to lead a team to achieve desired outcomes.
  • Strong communication and organizational skills required.
  • Must have knowledge of PDPM requirements of insurers.
  • Must have understanding of regulatory requirements.
  • Previous case management experience preferred.


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