Reserved Bed Post Acute Care Manager

Reserved Bed Post-Acute Care Manager serves as the primary liaison between hospital partners and PACS post-acute care centers, facilitating seamless patient transitions through the Reserved Bed Program. This role is responsible for coordinating referrals, managing patient placement, maintaining program metrics and reporting, and fostering strong relationships with hospital case management teams. The manager plays a critical role in supporting program growth, ensuring contractual compliance, and delivering outstanding service to both hospital partners and PACS facilities.

Essential Duties and Responsibilities

• Educate hospital case managers on the Reserved Bed Program, referral criteria, and admission processes to facilitate efficient transitions of eligible patients into PACS post-acute care centers.
• Receive Reserved Bed referrals from hospital case managers and review patient records to determine eligibility in accordance with established admission criteria and stop-list guidelines.
• Manage the referral process in a timely and efficient manner by distributing referrals to participating PACS facilities, securing appropriate placement, and communicating placement outcomes to hospital case managers. Escalate unplaced referrals according to established escalation procedures.
• Assess patient financial and insurance resources, including Medicare, Medicaid, Managed Care, HMOs, and commercial insurance plans, to support appropriate placement recommendations and resource utilization.
• Coordinate patient transfers to PACS facilities by ensuring all required physician orders, clinical documentation, medications, equipment, and ancillary services are arranged prior to admission.
• Participate in required daily and weekly hospital case management meetings, interdisciplinary discussions, and committee meetings to strengthen partnerships and ensure program success.
• Maintain accurate and timely documentation of referrals, facility responses, admissions, denials, and patient placement outcomes within designated tracking systems.
• Monitor and manage the Reserved Bed census for assigned hospital partners to ensure compliance with contractual obligations and program expectations.
• Track, analyze, and report key performance indicators (KPIs) and operational metrics related to referral activity, admissions, denials, census utilization, and program outcomes.
• Develop and maintain professional, positive working relationships with hospital case management teams, physicians, PACS facility leaders, and other key stakeholders to support collaboration and program growth.
• Identify opportunities for process improvement and contribute to initiatives that enhance efficiency, patient outcomes, and customer satisfaction.
• Perform other duties and responsibilities as assigned.

Qualification - Education and/or Experience

• Must possess, as a minimum, a high school diploma or GED.
• Bachelor's degree in health care or related field preferred.
• Two (2) years of Admissions experience preferred.
• LVN or RN license required.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from managers and employees.

Mathematical Skills

Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Reasoning Ability

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Must be able to work effectively in a fast-paced environment, manage multiple priorities simultaneously, and adapt to changing patient placement needs and operational demands.
• Ability to exercise sound judgment, remain professional under pressure, and effectively manage conflict while fostering positive working relationships with hospital partners, patients, families, and facility personnel.

Work Environment Requirements

• Must maintain a professional, quiet, and distraction-free remote work environment that supports productivity, confidentiality, and effective job performance.
• Remote work is not a substitute for childcare or dependent care.
• Employees must have appropriate childcare or caregiving arrangements in place during scheduled work hours and be able to devote their full attention to job responsibilities.
• Employees may also be required to travel to hospital locations to conduct onsite assessments and perform other business-related duties as needed.

Computer Skills

To perform this job successfully, an individual must be proficient in Microsoft Suite products and hospital EMAR systems.

Work Environment

Employees may work remotely provided they have a quiet, professional, and distraction-free work environment. Employees must have reliable childcare arrangements in place, as remote work cannot be combined with the routine supervision or care of young children during scheduled work hours. Additionally, employees may be required to travel to hospital locations to conduct onsite assessments or perform other business-related duties as needed.

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

Join PACS: Elevate Healthcare with Us!

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment , we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.

If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let's shape the future of healthcare!

Join Our Team and Thrive!

At PACS, we believe our employees are our greatest asset. That's why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.

Our Comprehensive Benefits Include

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.