RN, LPN or OT Case Manager

Wingate Healthcare, Inc.

• $93K — $104K *
Kingston, MA 02364In-Person
Healthcare
Less than 5 years of experience
Reposted Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Three years of clinical case management experience, with one year in long term care.
  • Advanced communication skills, both verbal and written.
  • Strong problem-solving and interpersonal skills.
  • Knowledge of Medicare and Medicaid regulations as they apply to long term care.

Responsibilities

  • Obtain post-admission authorizations for residents.
  • Act as the main liaison between healthcare providers and insurance case managers.
  • Assist in creating care plans for medically complex residents.
  • Manage and coordinate caseload from admission to discharge.
  • Ensure clear communication of patient care needs with the interdisciplinary team.
  • Support patients and families with their needs and concerns.
  • Coordinate discharges, including transport, medications, and home care referrals.

Benefits

  • Structured full-time schedule of 32 hours per week.
  • Opportunity to impact long-term care positively.
  • Collaboration with a multidisciplinary team of healthcare professionals.
  • Involvement in critical case management functions throughout patient care.
Full Job Description
Wingate at Silver Lake SNF

Licensed Nurse or Licensed Social Worker preferred

Schedule: Full Time

Rate: $45- $50/hour

JOB PURPOSE:

  • Obtain post admission authorizations
  • Act as the liaison between the physicians, hospitals and Insurance Case Managers
  • Assist in the development of Care Plans for medically complex residents
  • Manage and coordinate caseload upon admission, throughout stay/discharge
  • Timely communication with updating external physicians/Case Mng
  • Communicate patient care needs with the IDT
  • Support patients and their families
  • Attend weekly Medicare Meetings
  • Evaluate for denials and assist with appeals
  • Coordinate discharges including transport, meds, and referrals for home care.
  • Follow up with patient and/or family post discharge
  • Other duties as assigned


POSITION REQUIREMENTS:
  • Three years clinical case management experience with at least one in long term care required.
  • Advanced communication, problem solving and interpersonal skills.
  • Knowledge of Medicare and Medicaid regulations in long term care required.
  • Licensed Nurse or Licensed Social Worker preferred
* Ladders Estimates

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