Case Manager

Case Manager page is loaded## Case Manager locations:
Poway Healthcare Center time type:
Full time posted on:
Posted Todayjob requisition :
JR160525
** General Purpose
** Utilize critical thinking skills and care coordination expertise to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources, and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.
** Essential Duties
*** Communicate regularly with residents and their families about Plans of Care, PT, OT, and other treatment protocols.
* Attend and participate in morning meetings/stand‑ups to facilitate communication with the team.
* Answer residents’ questions about their care, treatment plans, illness progression, and other issues to ensure they feel safe and secure in our care.
* Monitor and adjust residents’ statuses based on changing needs and conditions.
* Organize and prioritize daily work by assessing new, current, and discharging residents’ needs in areas of responsibility.
* Complete documentation as required.
* Perform utilization review activities to provide residents with appropriate, timely, and cost‑effective care.
* Coordinate care with residents, care providers, facility financial services, and third‑party payers.
* Oversee all admissions and discharge activities.
* Coordinate referrals both to and from the facility.
* Relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues.
* Ensure accurate charting and timely completion of necessary paperwork.
* Work independently and exercise sound judgment in interactions with physicians, providers, payers, residents, and families.
* Communicate effectively and promote cooperation and collaboration among residents/families/caretakers, physicians, nurses, and other ancillary partners.
* Demonstrate excellent time management skills to develop organized work processes in a high‑volume environment with rapidly changing priorities.
* Utilize intermediate computer skills.
* Maintain professional, respectful, and honest interactions with residents, families, staff, and partners.
** Supervisory Requirements
** This position has no supervisory responsibilities.
** Qualification
* **** Education and/or Experience
**** Bachelor’s Degree in Social Work, Human Services, Nursing, or related field preferred (non‑licensed candidates accepted).
* Prior experience in healthcare, case management, or social services strongly preferred.
* Knowledge of Medicare, Medi‑Cal, and Medicaid programs and benefits.
* Familiarity with PCC (Point Click Care ) or other electronic medical record systems preferred.
* Certificate as a Certified Case Manager (CCM) a plus.
* Strong communication skills with the ability to read and comprehend policy and procedure manuals, and effectively present information to residents, families, and staff.
* Demonstrated ability to organize, prioritize, and manage multiple tasks in a fast‑paced environment.
* Compassionate, professional demeanor with commitment to resident‑centered care.
*** Language Skills
*** Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees.
*** Mathematical Skills
*** Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
*** Reasoning Ability
*** Ability to solve practical problems. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
** Physical Demands
*** Primarily sedentary with frequent sitting, computer use, and documentation.
* Regular walking throughout the facility to meet with residents, families, and staff.
* Occasional standing during meetings and care conferences.
* Ability to lift and carry up to 20 pounds (files, binders, supplies).
* Clear verbal communication and vision required for chart review and resident interaction.
** Work Environment
** The work environment characteristics described here are representative of those an employee…