Director of Care Coordination & Patient Outcomes

Pell City Nursing & Rehab Center; Pell City (AL); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits (medical/dental/vision

401(k) plan

Tuition reimbursement

Paid vacation and holidays

Disability coverage

Job summary

Diversicare in the United States seeks a Director of Care Coordination to lead recovery and care coordination efforts, align resources with patient needs and benefits, and guide discharge planning. The role focuses on team leadership, communication with patients and families, and ensuring regulatory compliance within Medicare/Managed Care guidelines. A strong nursing background and PDPM/regulatory knowledge are preferred.

Qualifications

• Degree in nursing, therapy or other related clinical field with an active license.
• Knowledge of healthcare reimbursement, utilization management, and discharge planning.
• Experience providing strategic leadership, managing teams and leading projects.
• Ability to formulate and implement short and long term strategic plans.
• Strong verbal, written and interpersonal skills.
• Proven ability to lead a team to achieve outcomes.
• Strong communication and organizational skills.
• Knowledge of PDPM requirements of insurers.
• Understanding of regulatory requirements.
• Previous case management experience preferred.

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.

Skills

Leadership

Strategic planning

Communication

Organization

Team management

PDPM knowledge

Regulatory knowledge

Case management

Education

Nursing degree

Licensed professional

Job description

Diversicare in the United States seeks a Director of Care Coordination to lead recovery and care coordination efforts, align resources with patient needs and benefits, and guide discharge planning. The role focuses on team leadership, communication with patients and families, and ensuring regulatory compliance within Medicare/Managed Care guidelines. A strong nursing background and PDPM/regulatory knowledge are preferred.