Looking for RN Case Manager - Long Term Care - FT - Days in New Hope, MN

Job title: RN Case Manager - Long Term Care - FT - Days Company: Good Samaritan Society Job description: Create Your Career With Us! Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS MN New Hope Ambassador Location: New Hope, MN Address: 8100 Medicine Lake Rd, New Hope, MN 55427, USA Shift: Varies Job Schedule: Full time Weekly Hours: 32. 00 Salary Range: $37.00 - $48.00 Department Details This person would work a traditional office schedule, with some limited weekends and evenings shifts. This positions would oversee intakes and billing within our TCU and partner with our DON in providing strong leadership and staff support. Come Join us at the Good Samaritan Society - Ambassador (New Hope, MN), we are a CSM 5 star 77 bed facility specializing in Long Term and Post-Acute care. Our Award winning friendly and supportive team has received recognition from the American Health Care Association for our Adopt and Elder volunteer program and we received the Silver - Achievement in Quality Award for 2022. Job Summary The RN Case Manager, Long Term Care (LTC) Leads and manages payment systems that include Medicare and managed care for an active Transitional Care Unit. This includes direct communication between insurance provider and facility, issuing denials, coordinating appeal process, and collaboration of care through participation in Payment systems meetings. Basic understanding of MDS and PDPM are recommended. Chart review of admission to ensure documentation supports the reimbursement. Assures physicians' orders are processed and physicians are notified in a timely manner as needed while observing and documenting observations and care given to residents. Directs and assists with resident, family, and significant other education in conjunction with care team. Seeks to evaluate outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured health care settings described as a geographic and/or situational environment that may not have established policies and procedures. Utilizes independent nursing judgment when integrating health care. Has knowledge of and utilizes appropriate age-specific structured care methodologies, such as protocols/integrated clinical pathways/guidelines/standards of care relating to the overall health care needs of the residents. Interviews potential residents and assesses residents in compliance with regulations, policy and procedure. Uses assessment information for admission and continued stay in the long term care community. Ensures all residents meet assisted living qualifications as identified in the occupancy agreement, if applicable. Establishes a service plan for each resident and evaluates on an on-going basis. Able to work with growth and development needs of client populations in clinical area. May work with clients in all age groups. Ability to communicate with residents, family members and others on the health care team. Coordinates, facilitates, and negotiates with others. Monitors, evaluates and trends resident responses utilizing structured care methodologies. Fiscally responsible. Controls variances and duplication. Must demonstrate independence, assertiveness and critical thinking when working with residents and co-workers. Ability to document clearly. Ability to solve problems. Self-motivated. Works with little direction. Ability to incorporate teaching/learning principles and adapt teaching to age group. Ability to facilitate groups and implement projects when necessary. Must be able to establish priorities, have strong flexibility and organizational skills. Must be knowledgeable about reimbursement for services provided. Will be required to work primarily day hours, scheduled weekends, and occasional evenings. May be exposed to communicable or infectious disease, hazardous materials and injury from performance of assigned duties. Is subject to multiple sensory and environmental stressors. Qualifications Bachelor s degree in nursing preferred. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Minimum of one to two years of professional nursing experience in a clinic care setting preferred. In-depth knowledge of specialty area preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Benefits The Good Samaritan Society offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . The Good Samaritan Society is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] . The Good Samaritan Society has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0148751 Job Function: Care Coordination Featured: No Expected salary: Location: New Hope, MN Apply Job!