Director of Care Coordination (Post-acute)

Montgomery Nursing & Rehab Center

$80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Current degree in nursing, therapy, or related clinical field.
  • Understanding of healthcare reimbursement and discharge planning processes.
  • Experience in strategic leadership and team management.
  • Capability to devise and execute strategic plans.
  • Excellent interpersonal and communication skills.
  • Proven track record in leading teams to achieve results.
  • Knowledge of PDPM and regulatory requirements.
  • Previous experience in case management is advantageous.

Responsibilities

  • Facilitate daily care coordination meetings to align resources with patient needs.
  • Lead Engage/72 HR Admission meetings as part of the care management system.
  • Manage the integration of the restorative nursing program with activities.
  • Communicate timely updates to patients and families regarding care changes.
  • Collaborate with the clinical team on care plans development and execution.
  • Coordinate discharge planning and post-discharge communications.
  • Monitor quality measures with the care coordination team.
  • Ensure care documentation meets Medicare and Managed Care guidelines.

Benefits

  • Comprehensive health insurance plan options available.
  • Retirement savings plan with employer match.
  • Paid time off for vacation and personal days.
  • Professional development opportunities for continued education.
  • Supportive work environment fostering team collaboration.
Full Job Description
Responsibilities

  • Facilitate daily care coordination meetings to align care resources with patient needs and benefits.
  • Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.
  • Manage the restorative nursing program, integrating it with the activity department.
  • Ensure timely communication with patients and families regarding changes in condition and discharge planning.
  • Collaborate with the clinical team to develop and execute care plans.
  • Coordinate discharge planning and post-discharge communication, including home health and DME.
  • Monitor Quality Measures alongside the care coordination team.
  • Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.
  • Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.


Qualifications

  1. Degree in nursing, therapy or other related clinical field (i.e. social services), must hold a current license in respective field.
  2. Knowledge of healthcare reimbursement, utilization management, and discharge planning.
  3. Experience providing strategic leadership, managing teams and leading projects required.
  4. Ability to formulate and implement short and long term strategic plans
  5. Strong verbal, written and interpersonal skills.
  6. Must have proven ability to lead a team to achieve desired outcomes of team
  7. Strong communication and organizational skills required
  8. Must have knowledge of PDPM requirements of insurers
  9. Must have understanding of regulatory requirements
  10. Previous case management experience preferred

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