Alaris Health at St. Mary’s, a 188 bed-skilled nursing facility in City of Orange, New Jersey, seeks a case manager (LPN / RN) to establish and maintain the sub-acute unit’s identified census goals, clinically evaluate all residents admitted to the unit and formulate relationships with hospitals, insurance companies and other major referral sources. Additional responsibilities include:

• providing on-site clinical evaluation of referred residents with prompt communication to the referral source
• developing care plans and coordinating clinical evaluations
• utilizing regulatory agency guidelines and managing care concepts when reviewing clients for admission
• performing on-site evaluations incorporating contact with the social services department, reviewing residents’ medical records and managing client visits and professional contacts
• providing a list of client assessed needs the administrator which includes cost factors
• investigating and clearly defining the insurance eligibility coverage relative to the level of care and length of stay
• forecasting the duration of stay and practicality of an assured discharge
• informing the nursing department and other disciplines of the date of arrival once admissions are approved
• participating in marketing management by collecting and organizing data on all client referrals, admissions, denials and reason denied
• working as an interdisciplinary team member to keep staff informed of client’s therapy, medical, dietary and psychosocial needs as part of the care planning process
• actively monitoring clients’ progress to determine continued insurance eligibility

CASE MANAGER LPN / RN JOB REQUIREMENTS:

• Possess a valid New Jersey driver’s license and own a reliable automobile
• Current, professional nursing license that is valid in New Jersey
• At least two years of experience in acute care and/or rehabilitation setting
• marketing and discharge planning experience is preferred
• Ability to read, analyze and interpret common scientific and technical journals, financial reports and legal documents
• Ability to work with mathematical concepts such as probability and statistical inference
• Ability to define problems, collect data, establish facts and draw conclusions

BENEFITS:

• PTO
• Health and Dental insurance
• 401k