Director Care Coordination RN

Smile Youve Found Us!

Are you passionate about caregiving Would you like to work with the best team in the world If so Diversicare invites you to apply.

We build on trust respect customer focus compassion diplomacy appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence which we extend to all those we are privileged to serve.

If you wish to make a difference in the lives of our patients and residents APPLY NOW!

Full Time Benefits include:

• Medical/Dental/Vision
• Excellent 401k plan
• Tuition Reimbursement
• Vacation Holiday and Sick Time
• Long and Short Term Disability
• Employee Assistance Program
• Life Insurance
• Referral Bonuses
• DiversICARE - employee hardship fund
• Pay advancement program - OnShift Wallet

Diversicare provides post-acute care services to patients and residents at 61 skilled nursing and long-term care centers in eight states primarily in the Southeast Midwest and Southwest United with our team of dedicated healthcare professionals we leverage our diverse strengths to provide each patient and resident with healthcare serves that best meet their needs.

It is Diversicares Mission to Improve every life we touch by providing exceptional healthcare and exceeding expectations.

We are guided to excellence by five Core Values: Integrity Excellence Compassion Teamwork and Stewardship as well as 12 Service Standards.

We build on trust respect customer focus compassion diplomacy appreciation and strong communication skills to shape the culture in our workplace. Diversicare team members play a critical role in fostering an environment of Service Excellence. Our Service Standards are in place to offer support. They lead us to what matters most to our company: creating a warm caring safe and professional environment for our customers and each other.

Our culture of impassioned service delivery is the Diversicare Difference.

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KEY RESPONSIBILITIES:
1. Facilitates daily care coordination meetings to ensure care resources are aligned with benefits and
patient needs
2. Participates and facilitates Engage/72 HR Admission meeting. Ensures coordination as part of the
care management system
3. Responsible for the coordination of the restorative nursing program including integration of the
activity department
4. Ensures timely communication with the patient/family regarding changes in condition and discharge
planning
5. Responsible for the ongoing communication to all insurance case managers
6. Manages all initial reviews interim reviews and discharge reviews (Managed Care
authorizations/reauthorizations).
7. Collaborates with clinical team in the development and execution of care plan
8. Ensures timely facilitation of patient care rounds/conferences to review treatment plan and identify
discharge and post discharge needs
9. Ensures utilization of company tools/resources related to care management e.g. Dart
Chart/Managed Care Log
10. Coordinates discharge planning and post-discharge communication - home health/DME etc.
11. Determines need for non-coverage notification and is responsible for issuance of the beneficiary
notices as well as communication with patients/families/payers
12. Monitors Quality Measures along with other members of care coordination team
13. Serves as a skilled care documentation specialist ensuring that Medicare and Managed care
regulatory guidelines are completed accurately and timely (i.e. certifications denial letters skilled
documentation coverage criteria etc.)
14. Reviews Additional Documentation Requests (ADRs) with Health Information Management
Coordinator (HIMC) to ensure all documents are available and meet the request

BACKGROUND QUALIFICATIONS:
1. Degree in nursing therapy or other related clinical field (i.e. social services) must hold a current
license in respective field.
2. Knowledge of healthcare reimbursement utilization management and discharge planning.
3. Experience providing strategic leadership managing teams and leading projects required.
4. Ability to formulate and implement short and long term strategic plans
5. Strong verbal written and interpersonal skills.
6. Must have proven ability to lead a team to achieve desired outcomes of team
7. Strong communication and organizational skills required
8. Must have knowledge of PDPM requirements of insurers
9. Must have understanding of regulatory requirements
10. Previous case management experience preferred

(EOE)