Job Summary
-May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: https://www.lmpartnership.org/local-contracts.
Coordinates management of skilled nursing facility care, through a collaborative relationship with physicians, facility staff and other members of the health care team. Is accountable for maintaining defined goals through case management, utilization management and discharge planning while assuring appropriate services are delivered. Position requires travel to assigned facilities and flexibility to cover multiple sites if assigned.
Essential Responsibilities
Responsible for the daily oversight and coordination of care for KPCO members in a Skilled Nursing Facilities
Develops and participates in ensuring discharge plans are being actively implemented including scheduling and facilitating family conferences, identifying, and coordinating outside community resources in partnership with facility staff.
Develops and implements systems and models of care to ensure high quality, cost-effective outcomes for programs within areas of responsibility. Defines and assesses problems; develops and implements solutions for providers, staff, and contract service providers for aggregate populations.
Provides professional consultation for complex situations to internal providers, staff, members and community service agencies.
Takes lead in fostering partnerships and relationships with facilities and acts as primary liaison
Collaborates with Utilization Management in the coordination of care for LTACH and Acute rehab as appropriate
Develops and implements programs for changing organization and member needs.