Case Manager Liaison

4 weeks ago


St Petersburg, United States Westminster Communities of Florida Full time
Job Summary

Westminster Communities of Florida is seeking a skilled Case Manager Liaison to join our team. As a key member of our healthcare team, you will be responsible for performing clinical assessments for potential and current residents, negotiating with managed care organizations, and serving as a liaison for community relations, discharge planners, and physicians.

Key Responsibilities
  1. Conduct clinical assessments for potential and current residents to ensure fiscal appropriateness of member admissions.
  2. Assist with tracking of authorization numbers for residents on Managed Medicaid and other managed care plans.
  3. Work with community staff to monitor and track resident progress, communicating relevant information between residents, referrers, families, and treatment teams.
  4. Ensure residents are evaluated for the appropriate level of care, working with residents, families, and staff as needed.
  5. Assist with coordination, monitoring, and communication of resident progress and costs.
  6. Foster positive relationships with insurance representatives and providers in the local market.
  7. Address quality measures issues for potential admissions and returning residents.
  8. Complete pre-admission processes in our electronic health record system for new admissions.

We offer a generous compensation and benefit package, including company-paid life insurance, LTD insurance, a pension plan, wellness program, and fitness center. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this exciting opportunity.


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