Case Management Liaison
Company: Suncoast Manor Retirement Community, Inc
Location: saint petersburg
Posted on: May 3, 2021
Westminster Suncoast is looking for a FT Case Manager for
Performance of clinical assessments for potential and current
WestminsterServices health center residents. Negotiation for
residents who are clients ofmanaged care organizations. Liaison for
community relations, dischargeplanners, and Physicians. Support for
all Marketing efforts. Maximize costeffectiveness across the entire
continuum of care; improve customer satisfactionand enhance quality
of care.Comply with all applicable rules, standards and guidelines
related to employment withWestminster Services and its communities.
Essential Job Functions include but not limited to: Comply with
all applicable rules, standards and guidelines related to
employment with Westminster Services and its communities.
Works as community liaison for referrals from physician,
hospitals, insurance based case manager, or marketing personnel on
all potential sub-acute patients, ensures initial and on-going
fiscal appropriateness of member admissions in conjunction with
Business Office and Director of Nursing Assists the community with
tracking of authorization numbers of residents on Managed Medicaid
and other Managed Care Instance plans.
Works with community staff to monitor and track resident's progress
and communicate relevant information between resident, referrer,
family, instance company, and treatment team, communicates with the
interdisciplinary member care team.
Works with residents, families and other staff as needed to ensure
that residents are evaluated for the appropriate level of care.
Assists with coordination, monitoring, and communication of
resident's progress and costs.
Fosters positive relationships with insurance representatives and
providers in in the local market.
Address quality measures issues for potential admissions and
Complete Pre-Admission process in EHR for new admissions. EOE,
DFWP, "We honor those who have served".
1 year(s): Post acute rehabilitation.
2 year(s): Long term care and assisted living, including working
knowledge of medicare and managed care and Managed Medicaid
Keywords: Suncoast Manor Retirement Community, Inc, St. Petersburg , Case Management Liaison, Other , saint petersburg, Florida
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