Registered Nurse Case Manager
Nurse case manager responsible for 40-bed skilled nursing /rehabilitation unit within a 120-bed long term care facility. Ensure quality health care and rehab delivery in an efficient, cost- effective manner to residents as they move to various settings within and outside our continuum care facility. Lead & coordinate weekly interdisciplinary care plan team meeting which includes rehab, nursing, social service, life enrichment, dietary, resident, family or designated responsible party. Persuasive and articulate in dealing with management, peers, managed care insurance companies and diverse clientele. Identify physical, psychological, and placement barriers for resident. Meet weekly with rehab team to track resident's progress and re-evaluate goals as needed. Interface daily with medical team, nursing staff, rehab team, social services, residents and family/ responsible party. Provide reviews and update to managed-care insurance companies. Provide staff development & in-services
- Participated in transitioning a 120-bed nursing home, which had less than 20 skilled nursing beds scattered throughout the facility, to an active long term care unit with a 40-bed skilled nursing/ rehab unit. Our unit now averages more than 50 admissions per month.
- Developed and implemented numerous forms to promote smooth transition throughout rehabilitation process.
- Significantly improved reimbursement to facility from managed care providers