Resident Care Manager

FORESTGROVE in; Forest Grove (OR); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Health savings account

Flexible spending account

Life & Disability benefits

PTO & Holiday pay

Parental leave

Employee Assistance Program

Job summary

FOREST GROVE POST ACUTE in Forest Grove, OR is seeking a Resident Care Manager to oversee clinical coordination and plan-of-care development for residents. You will collaborate with families, healthcare providers, and payers to ensure high-quality, cost-effective care and effective communication across teams.

The role requires nursing education, licensure considerations, and experience in a post-acute setting; strong documentation and organizational skills are essential.

Qualifications

• Bachelor's Degree in Nursing or Social Work required or preferred
• RN license preferred; LVN/LPN acceptable
• Two years clinical nursing experience preferred
• Knowledge of Medicare, Medi-Cal and Medicaid programs and benefits
• PCC Knowledge preferred
• CCM certification a plus
• Must maintain continuing education/licensing
• Good standing with the Department of Public Health, License and Certification Division

Responsibilities

• Communicate regularly with residents and family about Plans of Care and treatments
• Participate in morning meetings to facilitate team communications
• Address questions about care and treatment plans to residents and families
• Monitor and adjust residents' statuses based on changing needs
• Organize daily work and prioritize care for residents
• Complete required documentation and charting
• Perform utilization review for cost-effective care
• Coordinate care with residents, providers, and payers
• Oversee admissions and discharge activities
• Coordinate referrals to and from the facility

Job description

Resident Care Manager (Healthcare)

FOREST GROVE POST ACUTE
Our purpose is to care for people in their moments of need.
Our philosophy of caring is based on our core values and is at the center of all we do.
FGPA is proud of our commitment to excellence and emphasis on quality care guided by a compassionate heart.

Benefits:

• Discounted employee meals
• Health Insurance
• Dental insurance
• Vision insurance
• 401(k)
• Health savings account
• Flexible spending account
• Life & Disability benefits
• PTO & Holiday pay
• Parental leave
• Employee Assistance Program

General Purpose

• Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

Essential Responsibilities

• Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols.
• Attends and participates in morning meetings/stand up to facilitate communications with the team.
• Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure in our care.
• Monitor and adjust residents' statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing new, current and discharging residents' needs in the area(s) of responsibility.
• Complete documentation as required.
• Performs utilization review activities to provide resident appropriate, timely and cost-effective care.
• Coordinate care with resident, care providers, facilities financial services, and third-party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from our facility.
• Ability to relate positively, effectively, and appropriately with residents, families, staff and professionals
• colleagues.
• Accurate charting and ability to complete necessary paperwork in a timely manner.
• Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families.
• Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
• Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Intermediate computer skills.
• Competence in maintaining professional, respectful, honest interactions with residents/families and staff and partners.
• Perform clinical assessments, care planning, and direct coordination of medical services when required by the role

Supervisory Requirements

This position has no supervisory responsibilities.

Qualification

Education and/or Experience

• Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable.
• Two (2) years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi-cal and Medicaid programs and benefits.
• PCC Knowledge preferred.
• Certificate as a certified Case Manager (CCM) a plus.
• Must maintain all required continuing education/licensing.
• Must remain in good standing with the Department of Public Health, License and Certification Division at all times.

Physical Demands

• Primarily sedentary with frequent sitting, computer use, and documentation.
• Regular walking throughout the facility to meet with residents, families, and staff.
• Occasional standing during meetings and care conferences.
• Ability to lift and carry up to 20 pounds (files, binders, supplies).
• Clear verbal communication and vision required for chart review and resident interaction.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.