Case Manager MLTC

OB RESPONSIBILITIES:

• Review and ensure effective development and execution of personalized care plans that result in improved satisfaction & outcomes for all participants.
• Facilitate and complete the process of Interdisciplinary Team (IDT) meetings, Service Delivery Requests (SDR), and other meetings. This includes completing the attestations as needed. Support and collaborate with the Virtual IDT as needed.
• Serve as a manager on call during non-operational hours of the physical sites and was responsible for follow-ups, including follow-up documentation and initiating grievances on participant’s/caregivers’ behalf in a timely manner.
• Responsible for running necessary Clinical Delivery reports.
• Participates and represents the Community Health Nurse (CHN) in IDT meetings, when required.
• Balance and allocate staffing and related resources throughout the site and ensure adequate team assignments and coverage as a seamless operation.
• Responsible for ongoing communication with IDT and necessary parties involved to coordinate care consistent with the participant’s health care needs and goals to support in attaining and maintaining optimal health status. 
• Collaborate with clinicians to review UAS and the UAS analyzer system to ensure the accuracy of their assessments.

Qualifications:

• Degree from an NLN accredited nursing school (RN, BSN required or at least 5 years’ experience in health care setting).
• Successful completion of an accredited Nursing Program is required.
• Minimum of 2 years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home health care (LHCSA), acute care, medical-surgical, and/or critical care, nursing home experience, diagnostic & treatment clinic preferred. 
• Customer Service experience is required.
• Managed long-term care insurance experience beneficial.
• Minimum of 1-year experience working with the elderly.
• Supervisory experience is required.