What are the responsibilities and job description for the Assistant Case Manager position at AdviniaCare at Vinnin Square?
Assistant Case Manager
Job Summary:
We are seeking an experienced and detail-oriented Assistant Case Manager to join our team at AdviniaCare at Vinnin Square in Salem, MA. As a valued member of our team, you will assist the Case Manager in coordinating care for our skilled nursing and rehabilitation residents. This is a full-time position that offers the opportunity to work in a dynamic and supportive environment.
Responsibilities:
Schedule and attend resident care plan meetings and send out invitations to family members
Schedule and attend teleconference meetings with family members of skilled residents, if requested
Follow up with interdisciplinary team members on non-completed sections of evaluations and forms required for insurance updates
Retrieve and fax or upload to managed care portal medical records to managed care companies for utilization review purposes
Track and schedule all certifications and recertification needed for skilled care
Coordinate with Social Services to issue Medicare Advantage denial letters
Retrieve and upload medical records to QIO website for any requested appeals
Assist with compiling medical records and preparing for submission with subsequent level appeals to QIC, ALJ, etc.
Track and submit all managed care documentation on review dates
Monitor daily any change in resident status that would impact skilled level of care or discharge and assure managed care company is notified of changes in next review
Update weekly UR board and attend weekly UR meeting
Consult with Regional RN Case Manager as needed
Assist with compiling medical records or other documentation as requested by Curis ADR department
Scan and upload to PCC all Certs, NOMNCs and SNF ABNs
Qualifications:
Certified nursing assistant or certified Medication tech
At least 1 year experience in long term care
Experienced with electronic medical records such as PCC
Basic knowledge of Microsoft Word and Excel
Proficient with email and downloading/uploading documents
Company Description:
AdviniaCare at Vinnin Square is a leading provider of senior lifestyle and care services. Our mission is to deliver exceptional care and support to our residents, while also providing peace of mind to their families. Our beautiful, spacious Assisted Living communities offer the best in comfort, amenities, and dining options, while our skilled nursing and rehabilitation communities provide care for all diagnoses.
If you are a motivated and experienced healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity.