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Case Management Liaison

Company: Suncoast Manor Retirement Community, Inc
Location: saint petersburg
Posted on: May 3, 2021

Job Description:

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 returning residents.
Complete Pre-Admission process in EHR for new admissions. EOE, DFWP, "We honor those who have served".

Experience Required

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 protocals.

Keywords: Suncoast Manor Retirement Community, Inc, St. Petersburg , Case Management Liaison, Other , saint petersburg, Florida

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