Are you an experienced case manager looking for a new challenge?

As the Case Manager for several skilled nursing facilities, you will manage the prior authorization and utilization review process for new and readmitted skilled nursing facility patients for multiple locations. You will oversee case management activities for The Laurels of Kettering, The Laurels of Huber Heights and The Laurels of West Carrollton

Laurel Health Care offers one of the leading employee benefit packages in the industry. This includes:

• Comprehensive health insurance - medical, dental and vision
• 401K with matching funds
• DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.
• Paid time off (beginning after six months of employment) and paid holidays
• Flexible scheduling
• Tuition reimbursement and student loan forgiveness
• Free CNA/STNA certification
• Zero cost uniforms
• Legacy, our new virtual community and rewards & recognitions program
• When you work with Laurel Health Care Company, you will join an experienced, hard-working team that values communication and collaboration.

Why just work when you can help shape a legacy?

Responsibilities include:

• Ensuring timely and accurate submission of initial clinical reviews as indicated, 
• Identifying, and communicating changes in financial coverage or status,
• Acting as a liaison between the building and payers.
• Coordinating and providing care that is safe, timely and effective. 
• Collaboration with Social Workers, Care Transitions team, Physicians, and other Departments to ensure quality discharge planning needs.

QUALIFICATIONS/REQUIRED EDUCATION/TRAINING 

Experience/Education:

• Clinical and case management experience preferred
• Computer proficient with experience in managed care prior authorization processes and programs.
• Covid 19 vaccination or acceptable exemption required

About Laurel Health Care Company

Laurel Health Care Company (The Laurels) is a national provider of skilled nursing, subacute, rehabilitative and assisted living services dedicated to achieving the highest standards of care. The Laurels of Kettering is licensed for 60 skilled nursing guests and 34 assisted living guests.

At The Laurels, caring is more than providing excellent medical and guest services. It's also being a companion, and treating each guest with the utmost dignity, respect and compassion. It's what we call "The Laurel Way of Caring", and it comes from within each one of us.

The Laurels was named a Great Place to Work for 2020 based on approximately 3,500 employee surveys that evaluated more than 60 elements of employee experience on the job, including employee pride in community impact, belief that their work makes a difference, and feeling their work has special meaning.