RN Director Case Management / MDS Coordinator at Diversicare · Phenix…

Overview

Lead the Way as a Director of Case Management at Diversicare!

At Diversicare, we're looking for a passionate Director of Care Coordination to join our exceptional team. If you're dedicated to making a difference in the lives of our patients and residents, we invite you to apply.

Why Lead at Diversicare:

• Leadership Opportunity: As the Director of Care Coordination, you will play a pivotal role in ensuring that our care resources are aligned with patient needs, benefits, and exceptional service.
• Ownership and Excellence: We take pride in our culture of trust, respect, customer focus, compassion, diplomacy, appreciation, and strong communication skills. As a leader, you will embody these values and shape our culture.
• Comprehensive Benefits: Enjoy a competitive benefits package, including medical/dental/vision coverage, an excellent 401k plan, tuition reimbursement, vacation, holiday, and sick time, long and short-term disability, and more.
• Impactful Role: You will be responsible for coordinating the restorative nursing program, facilitating daily care coordination meetings, and ensuring timely communication with patients and families regarding changes in condition and discharge planning.

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Responsibilities

• Facilitate daily care coordination meetings to align care resources with patient needs and benefits.
• Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.
• Manage the restorative nursing program, integrating it with the activity department.
• Ensure timely communication with patients and families regarding changes in condition and discharge planning.
• Collaborate with the clinical team to develop and execute care plans.
• Coordinate discharge planning and post-discharge communication, including home health and DME.
• Monitor Quality Measures alongside the care coordination team.
• Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.
• Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.

Qualifications

• Degree in nursing, therapy or other related clinical field (i.e. social services), must hold an RN current license in respective field.

• MDS experience

• Knowledge of healthcare reimbursement, utilization management, and discharge planning.

• Experience providing strategic leadership, managing teams and leading projects required.

• Ability to formulate and implement short and long term strategic plans

• Strong verbal, written and interpersonal skills.

• Must have proven ability to lead a team to achieve desired outcomes of team

• Strong communication and organizational skills required

• Must have knowledge of PDPM requirements of insurers

• Must have understanding of regulatory requirements

• Previous case management experience preferred

(EOE)