Clinical Case Manager (CCM)

Company: Carthage Healthcare
Location: Carthage
Posted on: May 3, 2021

Job Description:

Exceptional career opportunity for FT Clinical Case Manager (RN preferred). Competitive pay, benefits and stable career growth. Start a better career with us today!

At Senior Living Properties, we believe everyone deserves a great life, including you. Our commitment is to provide love, attention and optimal care one resident at a time. We realize consistently fulfilling this commitment depends on the success of caring professionals like you, who build their careers with us. Together, we’re setting the standard in the delivery of rehabilitation, quality post-acute services and long-term care. Join us and discover how many lives you can change, including yours.

With Senior Living Properties, your talent will make a difference every day and we will make it count for you!

Career Advantages We Offer:

• Medical, vision and dental insurance

• Employer-paid life insurance

• Paid time off

• Paid holidays

• Flexible schedule

• Long term growth and advancement opportunities

• And more….

POSITION SUMMARY:

Under direction of the Administrator and supervision of Regional Reimbursement Coordinator, the Clinical Case Manager (CCM) is responsible for management of all processes involved with assessment, planning, facilitation, coordination, evaluation and advocacy for service options to meet individual resident needs. The CCM will promote quality and cost-effective outcomes while adhering to Federal and State guidelines, and in accordance with company’s policies and procedures.

ESSENTIAL JOB FUNCTIONS:

•Manages the RAI Process from resident admission to discharge.

• Maintains clinical compliance, receiving appropriate funding from Medicare, Medicaid and Managed Care pay sources.

•Completes MDS and all pertinent forms required in a timely, accurate and case mix optimized manner.

•Develops, with input from the interdisciplinary team members, individualized care plans

•Coordinates resident assessments and services by other clinical departments

• Provides timely information for all managed care clinical authorization and justifications.

•Completes assigned duties outlined on “Role of the Clinical Case Manager” procedure form.

•Provides training and support to nurses and nurse aides on Activities of Daily Living (ADL)

•Manages the daily PPS/OBRA case management meetings and weekly level of care meetings

•Attends daily start up, stand up, and weekly standards of care meetings

•Participates in weekly standards of care meetings, monthly quality assurance, PI and triple check meetings

•Attends training, meetings and seminars when necessary

SUMMARY OF QUALIFICATIONS:

•Current Texas Registered Nurse (RN)

•Excellent communication skills

•Proficient computer skills: Microsoft office and ability to learn new applications.

•Minimum Data Set and Care Plan experience preferred.

•Knowledge of Medicare and Medicaid programs preferred.

•Minimum of one (1) year long term care experience, preferably with some supervisory responsibility.

•Must be committed to regular attendance and working irregular hours, including evenings and weekends as necessary.

•Competent organization skills, time management and multi-tasking

•Consistently demonstrate respectable judgement, strong problem solving and decision making skills.

•Must perform the essential functions of this job, with or without reasonable accommodation.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local

Keywords: Carthage Healthcare, Longview , Clinical Case Manager (CCM), Other , Carthage, Texas