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Case Manager

The Evangelical Lutheran Good Samaritan Society

This is a Contract position in Mountain Home, AR posted May 20, 2019.

Join our not-for-profit organization that has provided nearly 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.

Show YOU care, join us today Case Manager Location: 0470
– GSS Mountain Home 300 Good Samaritan Drive Mountain Home, Arkansas, 72653-5813 United States Employment Type: Full-Time Hourly: 22.00
– 24.29 Shift: Day Job Summary This position provides care to assigned residents in a caring, safe and efficient manner and is responsible to perform the following according to location standards, procedures and individualized resident care plans.

Receives referrals, conducts analysis of resident’s needs, ensures appropriateness of admission according to payer source and quality care; oversees fiscal management of the payer revenue/expenses from admission through discharge.

Assures residents, families and / or significant others are aware of current payment system requirements and guidelines.

Provides residents with opportunities for independence and choice consistent with their care plans.

Directs and assists with staff resident, family/significant other education regarding payer system issues.

Serves as vital link to all Medicare team members and other disciplines to ensure delivery of resident benefits under the specific payer plan.

Stays updated on current payment issues, interpretations and RAI/MDS updates; receives and shares information.

Establishes appropriate payer system documentation guidelines.

Directs and documents care provided to residents.

Functions as the main contact between payer and resident and family; communicates regular updates on resident progress and outcomes.

Participates in Admission-Transfer Discharge Team.

Uses the EMR accurately.

Restorative Nursing coordinator and training role.

MDS Coordinator and Director of Nursing Back up.

Monday through Friday and Every other Weekend position.

Patient Assessment ,care and documentation.

Qualifications (Nursing (RN) and medical) knowledge required; graduate of an accredited school of nursing.

licensure, registration or certification for state of practice is required; case management certification desirable; a Master Social Worker (MSW) with previous managed care case management and medical social work experience may meet the qualifications.

Ability to perform critical analysis of clinical issues to extrapolate necessary data and information to develop accurate costing and effective critical pathways / care planning to ensure quality resident outcomes.

Basic ability to communicate and comprehend; ability to measure and comprehend certain quantities; knowledge of health care payer systems including managed care and Medicare eligibility and coverage requirements; knowledge and familiarity with the therapeutic effects and side effects of all medications administered; sound clinical (Nursing (RN) and medical) knowledge required.

The Good Samaritan Society offers an attractive, employee-approved benefits package for qualifying employees.

The variety of benefits include: health benefits, a retirement plan, work/life balance benefits, voluntary benefits and much more To review all of the great benefits and benefit eligibility, visit: All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, citizenship, age, disability, veteran status, genetic information, marital status or other protected status.

For more information including state-specific protections, please visit: req23596 All qualified applicants will recieve consideration for employment without regard to gender, sexual orientation, race, color, religion, national origin, citizenship, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or other protected status.