POSITION SUMMARY: Care Manager is responsible for the development, maintenance and implementation of the standards of nursing practice and objectives as it relates to the Minimum Data Set requirements and with the established policies and procedures of the governing body in compliance with federal, state and local regulations. The Care Manager is responsible for optimal reimbursement, proper documentation/diagnoses to justify the reason for a skilled service and reimbursement request.

ESSENTIAL FUNCTIONS:

• Coordinates/manages and works with clinical staff/therapy for proper documentation/care, programs and optimal reimbursement throughout the stay of a skilled resident

• Researches all pertinent medical information/diagnoses for optimal reimbursement

• Meet regulations for timely certifications/re-certifications, and signing of all orders

• Meet all requirements in working with Managed Care organizations

• Daily meetings with therapy and line staff on progress of skilled residents

• Monitors Nursing skilled documentation and provides continued education as needed

• Participates in the development and implementation of the resident assessment process, following the Minimum Data Set requirements of Federal, State and local regulations in accordance with Senior Living Communities/Wellmore policies and procedures

• Responsible for proper ADL Documentation and continued education/training

• Audits and analyzes the MDS documents for accuracy and appropriate completion dates.

• Timely submissions of all MDS’s

• Oversees and schedules resident care planning meetings.

• Assistance on floor and on-call/manager on duty as needed

• Participates in and attend all required in-service training and education sessions as scheduled.

• Other duties as assigned.

COMPETENCIES: To perform the job successfully, an individual should demonstrate the following competencies:

• Technical Skills – Individual must demonstrate current and ongoing competence in tasks assigned which indicates a specialized skill in this area above and beyond the average.

• Communication – Demonstrates an ability to effectively and regularly transfer information to necessary parties to improve the quality of work and to provide the supervisor with actionable, accurate data.

• Initiative – Is self-motivated and personally competitive. Wants to achieve for the good of the Company and the team. Seeks additional work when they have capacity. Demonstrates an ability and desire to bring new ideas and solutions to the supervisor on an ongoing basis.

• Flexibility – The ability to quickly adapt to changing conditions. The ability to navigate obstacles with ease and professionalism.

• Interpersonal Skills – Focuses on solving conflict, not blaming; listens to others without interrupting; keeps emotions under control; remains open to ideas and tries new things

• Teamwork – Balances team and individual responsibilities; encourages others and asks for help when needed. Exhibits patience and compassion.

• Professionalism – Ensures service is delivered on time and is of the highest quality. Assumes responsibility for mistakes. Presents themselves in a manner which enhances the brand image. Understands that no information is truly private and conducts online or social networking activities accordingly.

• Ethics – Treats people with respect; keeps commitments; inspires the trust of others; works ethically with integrity; upholds the Company’s Guiding Principles:

o People First, Always

o We Exist to Serve our Members

o We Have a Responsibility to be Full

Physical Demands, Work Environment, and Expected Hours of Work: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• This position is very active and requires frequent standing, walking, bending, kneeling, stooping and climbing.

• This position will be required to lift or carry weight up to 50 lbs. and ability to push up to 250 pounds independently.

• The individual must use proper body mechanics to assist residents in their daily living.

• This position regularly requires long hours and frequent night and weekend work.

TRAVEL: No travel is expected although occasional travel may be required for training sessions, continuing education opportunities, emergency situations, and other company functions.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Four-year college or university degree desired.

• Current state licensure as a Registered Nurse.

• Training in Medical Records regulations desired.

• Understanding of diagnosis coding

• Working knowledge of prescription drugs, therapy practices and bio-psycho-social sciences.

• Remain in good standing with all standards of the Nurse Practice Act.

• Two years’ experience in a similar healthcare position preferred.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Ability to read, write, speak and understand English fluently.

• Ability to meet or exceed the company’s attendance and punctuality standards.

• Ability to use Electronic Records and miscellaneous software and office equipment.

• Ability to understand and follow directions as given.

• Ability to work with minimal supervision.