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Clinical Case Manager

Clinical Case Manager

Morristown Post Acute Rehabilitation & NursingMorristown, New Jersey
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Morristown Post Acute is looking for  a Clinical Case Manager to join our incredible team!

We're not just a workplace; we're a community driven by excellence. We take immense pride in what sets us apart - our exceptional leadership, a warm and friendly work environment, and a reputation that we've worked hard to earn. If you're ready for a rewarding career experience, your journey begins here!

Case Manager Benefits :

  • Competitive wages based on experience
  • Daily pay option available
  • Generous paid time off (PTO) package
  • Medical, Dental and Vision insurance
  • Supplemental disability and life insurance options available
  • Flexible Spending Account
  • 401k available
  • Career advancement opportunities / tuition reimbursement
  • Complementary uniform
  • Friendly work environment
  • Referral bonus

Case Manager Responsibilities :

  • Must have knowledge of functionas of the facility nursing department and their capabilities to provide the client with the appropriate health care.
  • Provide on-site clinical evaluation of the referred resident with prompt communication to the referral source .
  • Develop care plans and coo rdinate clinical evaluations .
  • Utilize regulatory agency guidelines and managed care concepts when reviewing clients for admission .
  • Perform on-site evaluations incorporating the following :
  • Contact with the Social Service Department
  • Develop positive working relationships. Seek additional referrals .
  • Inform and educate of facility's availability and services.
  • Rev i ew of the resident's Medical Record
  • Utilize Clinical Review Process as established by the facility .
  • Obtain financial and payment source information .
  • Cl i ent visit
  • Identify reason for v i sit and the facility .
  • Counsel client and / or family concerning available serv i ces and suitability of client ' s admission.
  • Evaluate the client's degree of orientation and appropriateness of the therapy program.
  • Establish the degree of support systems that can be utilized for a comprehensive discharge plan , i.e . family , housing, care takers , etc.
  • Assess all client care needs including all equipment and number of nurs i ng hours.
  • Professional contacts (physicians, case managers, therapist)
  • Identify facility services.
  • Discuss treatment plan and discharge goals of the referred client.
  • Prov i de to the Admin is trator a list of clients assessed needs which includes cost facto r s such as equipment , infusion therapy, extensive dressing, continuous oxygen therapy, supplemental feedings , etc .
  • Investigate and clearly define the i nsurance el i gibility coverage as related to the level of
  • Forecast the duration of stay and the practicality of an assured discharge .
  • Collaborate with the Subacute Manager to make clinical determ i nation on the nursing staff's ability to provide the required care of each resident admitted.
  • Finalize and secure all necessary admission documentation , i.e . contracts , financial statements, letters of acceptance of fees from insurance companies or any other provider source agreements.
  • When admission of client has been approved , inform nursing and other disciplines of the date of arrival.
  • Collaborate with the Subacute Unit Manager to organ i ze and plan for special equipment and / or services which are required.
  • Provide inservice to referral sources, agencies, organizations and profess i onals in relation to services, facility policy and procedures and knowledge of payment systems .
  • Participate i n marketing management by collecting and organizing data on all c li ent referrals , admissions, denials and reason denied .  Develop special marketing projects ut i lizing evaluations and surveys. Ide ntify positive and / or negative trends and report to the Administrator .
  • Work as an interdisciplinary team member to keep staff informed of client's t herapy , medical , dietary and psychosocial needs as part of the care planning process .  Act i vely participate in monitoring the client's progress to determine continued insurance eligibility .
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    Clinical Case Manager • Morristown, New Jersey

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