External Case Manager

2 months ago

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

We have had the privilege of providing exceptional care to those in need for over a century. Founded on the belief that everyone deserves high-quality care, we continue to deliver quality services to our residents, patients, and clients. Caring is not just what we do, it's who we are.

Why Work with Us

We are a unified team across four campuses, eleven communities, five service offerings, and a hospital. Our compassionate and collaborative culture enables continuous improvement and allows our team members to learn, grow, and thrive in their careers. Surround yourself with people who care about making a difference.

Job Summary

We are seeking an External Case Manager to join our Heritage Manor Admissions department. The successful candidate will interface with local community hospitals, foster physician relationships, and assist in the coordination and facilitation of admissions through clinical review of potential clients for Admission. They will work closely with the Admission team to develop and promote a seamless referral to admission process while building a strong referral base.

Key Responsibilities
  • Refer sponsors to the Admissions Director for completion of tours, admission paperwork, and financial information.
  • Identify and assist in coordinating the acquisition of any needed special equipment, supplies, or consultations.
  • Document appropriate information as indicated and distribute to the MDS Coordinator, Supervisors manual, unit, Rehab, Social Services, COPS Nurse, and Food Services.
  • Communicate with the Admissions Director/DON/Administrator regarding census-driven needs, including room changes, inter-campus transfers, readmissions, etc.
  • Assess the appropriateness of care at Christian Health.
  • Conduct 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.
  • Demonstrate awareness of legal issues in all aspects of resident care and facility function and strive to manage situations in a manner that reduces risk.
  • Act as a liaison with referral sources, i.e., hospitals, skilled nursing facilities, adult homes, assisted case managers, and community outreach programs (make house calls when necessary).
  • Assess and screen residents for utilization issues and confer with the IDC Team regarding specific cases.
  • Coordinate and facilitate the flow of patients into the skilled nursing facility.
  • Market the facility programs and services to health-related audiences and consumers.
  • Track hospitalized patients across the long-term care program to facilitate re-admission to the facility (when appropriate).
  • Participate in activities related to clinical outcome data collection, as well as performance improvement.
  • Identify resident and interdisciplinary team educational needs and confer 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
  • Bachelor's degree in a related field required.
  • 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.
  • Maintain 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.

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