Director Care Coordination RN

Diversicare; Amory (MS); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical/Dental/Vision

Excellent 401k plan

Tuition Reimbursement

Vacation, Holiday, and Sick Time

Long and Short Term Disability

Employee Assistance Program

Life Insurance

Referral Bonuses

DiversICARE - employee hardship fund

Pay advancement program - OnShift钱包

Job summary

Diversicare is seeking a dedicated care coordination professional to lead daily care coordination meetings, oversee the restorative nursing program, and ensure seamless communication with patients, families, and insurers across our Mississippi facilities.

You will guide care plans, collaborate with clinical teams, monitor quality measures, and help navigate regulatory requirements to support safe, compassionate care for residents.

Qualifications

• Degree in nursing, therapy or related clinical field and a current license.
• Knowledge of healthcare reimbursement, utilization management, and discharge planning.
• Experience leading teams and projects; strong strategic planning abilities.
• Excellent verbal, written and interpersonal communication skills.
• Knowledge of PDPM requirements of insurers.

Responsibilities

• Facilitates daily care coordination meetings to align resources with patient needs.
• Leads care management discussions and coordinates with the clinical team.
• Oversees restorative nursing program integration with activity department.
• Communicates changes in condition and discharge plans to patients and families.
• Manages reviews with HIM and insurers, ensuring timely documentation.
• Coordinates discharge planning and post-discharge communications.

Skills

Leadership

Communication

Strategic planning

Project management

Education

Bachelor's degree in nursing or related field

Job description

Overview

Smile, You’ve Found Us!

Are you passionate about caregiving? Would you like to work with the best team in the world? If so, Diversicare invites you to apply.

We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence, which we extend to all those we are privileged to serve.

If you wish to make a difference in the lives of our patients and residents.

Full Time Benefits include:

• Medical/Dental/Vision
• Excellent 401k plan
• Tuition Reimbursement
• Vacation, Holiday, and Sick Time
• Long and Short Term Disability
• Employee Assistance Program
• Life Insurance
• Referral Bonuses
• DiversICARE - employee hardship fund
• Pay advancement program - OnShift Wallet

Diversicare provides post-acute care services to patients and residents at 61 skilled nursing and long-term care centers in eight states, primarily in the Southeast, Midwest and Southwest United States.Together, with our team of dedicated healthcare professionals, we leverage our diverse strengths to provide each patient and resident with healthcare serves that best meet their needs.

It is Diversicare’s Mission to “Improve every life we touch by providing exceptional healthcare and exceeding expectations.”

We are guided to excellence by five Core Values: Integrity, Excellence, Compassion, Teamwork and Stewardship, as well as 12 Service Standards.

We build on trust, respect, customer focus, compassion, diplomacy, appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence. Our Service Standards are in place to offer support. They lead us to what matters most to our company: creating a warm, caring, safe and professional environment for our customers and each other.

Our culture of impassioned service delivery is the Diversicare Difference.

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Responsibilities

KEY RESPONSIBILITIES:1. Facilitates daily care coordination meetings to ensure care resources are aligned with benefits andpatient needs2. Participates and facilitates Engage/72 HR Admission meeting. Ensures coordination as part of thecare management system3. Responsible for the coordination of the restorative nursing program including integration of theactivity department4. Ensures timely communication with the patient/family regarding changes in condition and dischargeplanning5. Responsible for the ongoing communication to all insurance case managers6. Manages all initial reviews, interim reviews and discharge reviews (Managed Careauthorizations/reauthorizations).7. Collaborates with clinical team in the development and execution of care plan8. Ensures timely facilitation of patient care rounds/conferences to review treatment plan and identifydischarge and post discharge needs9. Ensures utilization of company tools/resources related to care management – e.g. DartChart/Managed Care Log10. Coordinates discharge planning and post-discharge communication - home health/DME, etc.11. Determines need for non-coverage notification and is responsible for issuance of the beneficiarynotices as well as communication with patients/families/payers12. Monitors Quality Measures along with other members of care coordination team13. Serves as a skilled care documentation specialist ensuring that Medicare and Managed careregulatory guidelines are completed accurately and timely (i.e. certifications, denial letters, skilleddocumentation, coverage criteria, etc.)14. Reviews Additional Documentation Requests (ADRs) with Health Information ManagementCoordinator (HIMC) to ensure all documents are available and meet the request

Qualifications

BACKGROUND QUALIFICATIONS:1. Degree in nursing, therapy or other related clinical field (i.e. social services), must hold a currentlicense in respective field.2. Knowledge of healthcare reimbursement, utilization management, and discharge planning.3. Experience providing strategic leadership, managing teams and leading projects required.4. Ability to formulate and implement short and long term strategic plans5. Strong verbal, written and interpersonal skills.6. Must have proven ability to lead a team to achieve desired outcomes of team7. Strong communication and organizational skills required8. Must have knowledge of PDPM requirements of insurers9. Must have understanding of regulatory requirements10. Previous case management experience preferred

(EOE)