Posted by Guide to Retirement Living SourceBook on 09/22/2015

PRN Case Manager - Skilled Nursing

HCR ManorCare
Pittsburgh, PA

Employment Type

HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy. The Case Manager is responsible for facilitating interdisciplinary plans and assuring progress reports are completed and provided to payor as required; Also serves as liaison between patient, physician, care team members, payor, and the discharge planner by coordinating, monitoring, and communicating patient's progress and cost evaluation and assisting with coordination to the next level of care.

The PRN Case Manager position is responsible telephonically (with occasional facility visits) for covering time off for sick, vacation, and FMLA, throughout the division. The Case Manager covers between 3-10 facilities with total case loads of 50-60 patient’s; completing updates and attending IDT meetings. The PRN Case Manager will also support our pre-cert team that completes initial SNF authorizations. The PRN Case Manager should be flexible, organized, and willing to learn. This position does not offer benefits. In return for your expertise, you'll enjoy excellent training and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.

Minimum three years clinical experience and two years medical case management experience preferred. Comprehensive knowledge of workers' compensation, insurance, and managed care required. Ability to negotiate coverage and provide complete and timely case management reports required. Prior experience with an insurance company, private case management company or HMO preferred. Familiarity with long- term care and/or sub-acute care useful. Strong oral and written communication skills required.

Requirements: C.I.R.S (Certified Insurance Rehabilitation Specialist) or C.M.C.M. (Certified Medical Case Manager) preferred; Registered Nurse preferred.

Cynthia Baumberger

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