Director of Care Coordination / Social Worker

Pell City Nursing & Rehab Center; Pell City (AL); On-site; USD 90,000 - 130,000; Full time

Job summary

Diversicare seeks a Director of Care Coordination to lead care operations for patients and residents. The role focuses on coordinating the restorative nursing program, guiding daily care coordination meetings, and ensuring timely communication with patients and families about changes in condition and discharge planning.

The position emphasizes strategic leadership, collaboration with the clinical team, and adherence to PDPM and regulatory requirements, with opportunities for impact and

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 in a healthcare setting.
• Ability to create and implement short and long-term strategic plans.
• Strong communication and organizational skills.

Responsibilities

• Coordinate daily care coordination meetings and align resources with patient needs and benefits.
• Participate in and facilitate admission meetings as part of the care management system.
• Manage the restorative/rehabilitation program and integrate with activity department.
• Ensure timely communication with patients and families about changes in condition and discharge planning.
• Collaborate with clinical team to develop and execute care plans.
• Coordinate discharge planning and post-discharge communication including home health and DME.
• Monitor Quality Measures with the care coordination team.
• Oversee care documentation to meet Medicare and Managed Care guidelines.
• Review ADRs to ensure documents meet requests.

Skills

Leadership

Strategic planning

Team management

Verbal & written communication

Regulatory knowledge

Education

Nursing/therapy related degree

Job description

Overview

Lead the Way as Director of Care Coordination 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 a current license in respective field.
• 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)