Assistant Case Manager

Assistant Case Manager

We are seeking an experienced and detail-oriented Assistant Case Manager to join our team at AdviniaCare Newport. As a valued member of our team, you will assist the Case Manager in coordinating care for our skilled nursing and rehabilitation residents. This is a part-time position that offers the opportunity to work in a dynamic and supportive environment.

Responsibilities:

• Schedule and attend resident care plan meetings and send out invitations to family members
• Schedule and attend teleconference meetings with family members of skilled residents, if requested
• Follow up with interdisciplinary team members on non-completed sections of evaluations and forms required for insurance updates
• Retrieve and fax or upload to managed care portal medical records to managed care companies for utilization review purposes
• Track and schedule all certifications and recertification needed for skilled care
• Coordinate with Social Services to issue Medicare Advantage denial letters
• Retrieve and upload medical records to QIO website for any requested appeals
• Assist with compiling medical records and preparing for submission with subsequent level appeals to QIC, ALJ, etc.
• Track and submit all managed care documentation on review dates
• Monitor daily any change in resident status that would impact skilled level of care or discharge and assure managed care company is notified of changes in next review
• Update weekly UR board and attend weekly UR meeting
• Consult with Regional RN Case Manager as needed
• Assist with compiling medical records or other documentation as requested by Curis ADR department
• Scan and upload to PCC all Certs, NOMNCs and SNF ABNs

Qualifications:

• Certified nursing assistant or certified Medication tech
• At least 1 year experience in long term care
• Experienced with electronic medical records such as PCC
• Basic knowledge of Microsoft Word and Excel
• Proficient with email and downloading/uploading documents