What are the responsibilities and job description for the CASE MANAGER position at Skyline Healthcare Center-San Jose?
SUMMARY
Coordinates and monitors the assessment, treatment planning process and follow up for each resident / patient to maximize reimbursement. Serves as an advocate for reimbursement of health benefits. Typically located in facilities with high Medicare and managed care census.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- May participate in patient pre-placement planning. Conducts orientation and periodic assessments of individual residents’ needs.
- Assists patients and families in advocating for reimbursement benefits.
- Provides periodic assessments and summaries to insurers for continued authorization of care.
- Coordinates the oversight of delivery of services based on intent of stay and prior level of function. May include facilitation of patient review meetings and / or chart reviews.
- Completes required forms and documents in accordance with company policy and state and/or federal regulations.
ENTRY QUALIFICATIONS
- 1 year experience in social work or case management
Rate Negotiable based on experience.