We are looking for a Case Manager to work at our facility. This opportunity is full-time at 40 hours per week.
Job Description:
- Arrange/coordinate home health in coordination with Social Services
- Document, complete assessments, and care plan according to MDS schedule and as necessary
- Check all new admits for PPO information/who is Ortho/review charts for necessary info.
- Attend ortho rounds/provide doctors with face sheets and necessary information
- Complete Med Reconciliation and fax to MD for all discharges
- Attend PPO/HMO meetings weekly
- Complete physician reports for HMO/private/Medi-cal patients and make sure are signed by doctors.
- Follow up with nursing to ensure discharge orders has been secured to coordinate safe discharge planning and any additional resources, as needed
- Coordinate DME (Delivery/auth/physician progress notes/signatures)
- Meet with patient/families to answer HMO insurance concerns, DME concerns, what and where to call, apply for home care help. Need to research capitation for who covers certain items and direct to appropriate department
- Meet with family/patient regarding continued care, plan benefits and continued therapy - HMO
- Long term Medical PPO Auth (Research/initiation/re-initiation/coordination with UM Cm’s)
Job Type: Full-time
Pay: $40.00 - $45.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Case Manager: 1 year (Required)
Work Location: In person