Job Description:

The primary purpose of this job position is to coordinate delivery of services to managed care and Medicare residents in collaboration with the facility’s team members.

Duties/Functions:

• Responsible for facilitating interdisciplinary plans and assuring progress reports are completed and provided to payor as required.
• Serves as liaison between patient, physician, care team members, payor, and the discharge planner by coordinating, monitoring, and communicating patient’s progress and cost evaluation and assisting with coordination to the next level of care.
• Monitors and documents the cost effectiveness of treatment provided, facilitates and coordinates the admission and discharge process, serves as the resident and family advocate and acts as a liaison to insurance and medical management professionals.

Qualifications

• Must be a graduate of an accredited school of nursing; BSN degree preferred.
• Valid RN /LVN license in the state of California
• BS degree in related healthcare field
• 2 years of medical, clinical, concurrent review or pre-certification case management experience is preferred.

The Springs Post Acute offers a unique healthcare experience that specializes in post-acute rehab. Throughout the years, we’ve continuously committed to providing a higher level of nursing care by personalizing our services to our patients’ needs. The Springs is proud to offer a fun, exciting program including outings, high-tech gaming, and various events and classes to cater to our residents’ psychosocial needs. The Springs is incredibly proud of our 5-star CMS rating!