Case Manager

Skilled Nursing Facility located in Queens County is seeking an experienced Case Manager to assist our nursing staff in providing for each of our resident's social, emotional, and psychological needs from intake to discharge.

ESSENTIAL DUTIES:

• Accepts inquiries and conducts pre-admission reviews of potential patients in a timely manner.
• Documents all pertinent information received during the inquiry process and communicates with other appropriate staff for admission decisions.
• Obtains prior authorization and continued authorizations for placement and treatment of managed care patients.
• Determines the current and future care options for assigned patients and the estimated cost of each option.
• Monitors ongoing treatment plans of assigned patients and communicates with payors to insure appropriate reimbursement.
• Initiates and follows through with discharge planning to insure discharge to appropriate level of care in a timely manner using information obtained from interdisciplinary team and attending physician.
• Communicates with business office staff regarding rates, exclusions, changes in level of care for managed care patients.
• Monitors patient needs and managed care authorized services to insure efficient use of available resources
• Monitors daily all HMO/managed care residents for care needs and physician orders relating to same. Requests and receives level changes throughout resident's stay as appropriate.

POSITION QUALIFICATIONS:

• Bachelor degree in Social Work, Human Welfare, Psychology, or Sociology preferred.

• At least two years of case management experience with at least one year of this experience in a long-term care facility preferred.

• Proficient computer skills, including Microsoft Office (Word and Excel).

• Knowledge of all state and federal regulations relating to Social Services.

• Must be able to work with minimum supervision to organize and manage a large case load.

• Must possess excellent written and oral communication skills.

EOE Statement:

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.