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Healthcare Case Manager

2 months ago


Oakland, California, United States Windsor Healthcare Communities Full time
Case Manager Job Summary

We are seeking a skilled Case Manager to join our team at Windsor Healthcare Communities. As a Case Manager, you will play a critical role in coordinating patient care to ensure optimal outcomes, cost-effectiveness, and communication.

Key Responsibilities:
  • Conduct pre-admission assessments to ensure clinically appropriate admissions in accordance with Federal, State, and Company requirements.
  • Coordinate patient care to meet patient, payor, and Company needs for patient outcome, cost, and communication.
  • Determine resource utilization specific to patient care needs, outcome expectations, payor, and Company requirements.
  • Participate in negotiating coverage as assigned.
  • Ensure exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
  • Attend all Center or Company required inservices and meetings.
  • Maintain all documentation necessary for quality case management according to Federal, State, and Company requirements.
Requirements:
  • Current California RN license.
  • Strong administrative and organizational skills.
  • Minimum 2 years experience in case management.
  • Bachelors degree in health care field preferred.
What We Offer:

As a Case Manager at Windsor Healthcare Communities, you will have the opportunity to work in a dynamic and supportive environment that values your skills and experience. We offer competitive compensation and benefits packages, as well as opportunities for professional growth and development.