What are the responsibilities and job description for the Case Manager position at Deptford Center?
Deptford Center is hiring a Case Manager in Deptford, NJ!
Duties:
- Maintains a strong working knowledge of all managed care contracts for their assigned area of responsibility.
- Negotiates appropriate levels of care for contracted and non-contracted terms with the payor case manager.
- Communicates information to care team and coordinates patient's smooth transition to the next level of care.
- Obtains accurate information from physicians, patient, and payor source regarding the expected discharge plan and communicates this information to the interdisciplinary team.
- Complies with key department expectations for care coordination and utilization including:
- Manage assigned caseload efficiently and effectively utilizing time management skills.
- Reviews and ensures clinical documents for insurance provider requests are complete and accurate prior to submission.
- Complete continued stay reviews and update extended authorizations timely in addition to coordinating and monitoring length of stay for alternative payor models.
- Enter timely updates as required. Act as a liaison between payors and interdisciplinary team facilitating a smooth transfer of information.
Requirements:
- Minimum two (2) years of experience in medial case management.
- Comprehensive knowledge of workers' compensation, insurance, and managed care, required.
- Ability to negotiate coverage and provide complete and timely case mgmt. reports, required.
- Prior experience with an insurance company, private case mgmt. Company, or HMO, preferred. Familiarity with long- term care and/or sub-acute care, useful.
- Knowledge of or experience working with ACO’s or other value-based models is preferred.
- Strong oral and written communication skills, are required.
About us:
Deptford Center for Rehabilitation and Healthcare is a 240-bed rehabilitation and skilled nursing facility located in Deptford, New Jersey. Our size enables a warm, nurturing environment, which allows each resident to maintain his or her individuality. Our staff is committed to ensuring the highest quality of life for all our residents, by maintaining each resident’s dignity and independence. We offer a friendly working environment, excellent compensation, great benefits package, professional growth & stability, innovative training programs and more. Deptford Center is a proud member of the Centers Health Care Consortium.
Equal Opportunity Employer –M/F/D/V