LVN, SNF Case Manager

LVN, SNF Case Manager @ Desert Oasis Healthcare

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Responsible for SNF admissions and concurrent review with all associated responsibilities.

• High School graduate, preferable with a minimum of a 2 year college education. Current California LVN License required.
• LVN with 2 years experience in a skilled nursing facility or hospital that involved direct care and interaction with patients and family or discharge planning required.
• Working knowledge of discharge planning, skilled nursing facility, and home health criteria as well as availability of local social service organizations and community resources/agencies.
• Familiarity with medical terminology.
• Must possess excellent telephone, computer and people skills, with an ability to interface with DOHC staff and outpatient providers in a pleasant and professional manner.
• Must be detail orientated and able to multi-task.
• Current California drivers license and proof of insurance.
• Respirator Fit Test (no BLS)
• At the discretion of DOHC/FHC management, this position has the potential to be a full or hybrid telecommuting position.

• Performs concurrent on-site reviews of all local skilled nursing facility admissions.
• Responsible for coordinating all requests for services not provided in the SNF (i.e. specialist consults, radiology etc.) while maintaining Traxit updates in a timely manner.
• Attend weekly SNF ICT meetings and provides constructive input towards patient goals along with a timely and appropriate discharge plan of care. Completes SNF skilled and custodial ICT recap report and sends report to SNF Team.
• Ensures that NOMNC/denial letters are initiated timely and according to Health Plan and regulatory agencies specifics.
• Contacts admitting and/or consulting physicians directly, when information is necessary to clarify the medical plan of care, level of care, and/or discharge challenges.
• Keeps Medical Director and/or Designee apprised of SNF activity and needs.
• Completes discharge screening on all admissions, and coordinates discharge planning needs with the SNF Discharge Coordinator, ensuring timely discharge of medically stable patients, with medically necessary home care and/or allowable Durable Medical Equipment, etc.
• Accurately completes documentation in Electronic Medical Record (EMR) SNF Template for all SNF cases (skilled and non-skilled) in a timely manner, with completion no later than the discharge date.
• Emails a SNF Problem Intervention Plan Disposition report on every DOHC SNF members discharge to the appropriate DOHC email groups.
• Ensures a POLST document is discussed and/or accurately completed with every DOHC SNF admission to include Life Planning Documentation and Serious Illness Discussion Template completion in NG EMR as applicable.
• Emails the SNF Medical Records packet to the appropriate DOHC email group with every DOHC SNF member discharge.
• Responsible to complete all due 5 Star Quality Measures that are able to be completed in the SNF setting.
• Assists the SNF SS Rep to initiate Medi Cal Applications on applicable DOHC SNF admits.
• Introduce self and your role.
• Be an active listener (make eye contact, validate).
• Anticipate needs that will arise before your next meeting.

• Sitting – Approximately 15% of day.
• Standing – Approximately 15% of day.
• Walking – Approximately 70% of day.
• Lifting – 0‑40 lbs (equipment, supplies) – Approximately 40% of day.
• Bending – Approximately 10% of day. Kneeling < 20%.
• Hearing/Visual Acuity – Adequate for use with computers, telephone, and/or Blackberry – Approx 50% of day.
• Computer – Highly technical work environment – Must be able to work 7 hours/day using keyboard, mouse, and monitor.
• Reaching – Above head 75 degrees – Approximately 25%.
• Hand grip dexterity – Approximately 85% of day.

• Seniority level:
  Entry level
• Employment type:
  
  Part-time
• Job function:
  Health Care Provider
• Industries:
  Hospitals and Health Care