Westminster Bradenton Towers

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Case Management Liaison (Healthcare)



Work With Excellence, Serve With Heart!

Join the 5-star team at Westminster Point Pleasant, a beautiful waterfront life plan community located near downtown Bradenton.  Currently seeking a skilled Case Management Liaison for a full-time position in our 120 bed Health Center.    EOE, DFWP "We honor those who served".  

Why work for us?

- Competitive Hourly Wage

- Comprehensive Benefits including Medical, Dental, Vision, Life and 403b

- Generous Paid Time Off Plan

- Work Alongside Industry Experts That Take Pride in Their Work

- Supportive Management Team That Put Employees First

- Warm and Friendly Work Environment

- Beautiful, Well-Maintained Facility Conveniently Located Near Downtown Bradenton

- Flexible Schedule

- Plenty of Career Growth and Advancement Opportunities

 JOB SUMMARY: Performance of clinical assessments for potential and current Westminster Services health center residents. Negotiation for residents who are clients of managed care organizations. Liaise between community relations, discharge planners, and Physicians. Must support the Marketing efforts at the community. Maximize cost effectiveness across the entire continuum of care; improve customer satisfaction and enhance quality of care.

 ESSENTIAL JOB FUNCTIONS: Comply with all applicable rules, standards and guidelines related to employment with Westminster Services and its communities.

  1. Works as community liaison for referrals from physician, hospitals, insurance based case manager, or marketing personnel on all potential sub-acute patients, ensures initial and on-going fiscal appropriateness of member admissions in conjunction with Business Office and Director of Nursing.
  2. Assists the community with tracking of authorization numbers of residents on Managed Medicaid and other Managed Care Insurance plans.
  3. Works with community staff to monitor and track resident's progress and communicate relevant information between resident, referrer, family, insurance company, and treatment team, communicates with the interdisciplinary member care team.
  4. Works with residents, families and other staff as needed to ensure that residents are evaluated for the appropriate level of care.
  5. Assists with coordination, monitoring, and communication of resident's progress and costs.
  6. Fosters positive relationships with insurance representatives and providers in the local market.
  7. Address quality measures issues for potential admissions and returning residents.
  8. Complete Pre-Admission process in EHR for new admissions.

 

ESSENTIAL QUALIFICATIONS:

Must be a licensed RN or LPN in the state of Florida; or possess a degree in a related healthcare field.
Certification in Case Management or Geriatrics preferred
Must be CPR Certified

EXPERIENCE:

Two years (three years, if LPN) in long term care and assisted living, including working knowledge of case management/ clinical work, Medicare /Managed care and Managed Medicaid protocols.

One year in post-acute rehabilitation. Case management purpose and process knowledge required.

Demonstrated clinical assessment skills required.

Experience

Required
  • 1 year(s): Post Acute Rehabilitation
  • 2 year(s): Working knowledge of Medicare and Managed care protocols.
Preferred
  • Demonstrated clinical assessment skills
  • Knowledge of case management purpose and process
  • 2 year(s): Long Term Care

Licenses & Certifications

Required
  • LPN
Preferred
  • RN

Behaviors

Required
  • Functional Expert: Considered a thought leader on a subject
  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Preferred
  • Enthusiastic: Shows intense and eager enjoyment and interest

Motivations

Required
  • Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
  • Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Preferred
  • Self-Starter: Inspired to perform without outside help
  • Goal Completion: Inspired to perform well by the completion of tasks

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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