Assistant Case Manager

Job Title: Assistant Case Manager

Job Location: AdviniaCare Providence

Company Name: AdviniaCare

Company Description:

AdviniaCare is a leading provider of senior lifestyle and care services. Our mission is to deliver exceptional care and support to our residents, while also providing peace of mind to their families. Our beautiful, spacious Assisted Living communities offer the best in comfort, amenities, and dining options, while our skilled nursing and rehabilitation communities provide care for all diagnoses. At AdviniaCare, we recognize that each resident is unique, and we strive to provide personalized care and attention to meet their individual needs.

Job Summary:

We are seeking an experienced and detail-oriented Assistant Case Manager to join our team in Providence, RI. The successful candidate will be responsible for assisting the Case Manager in coordinating care for our skilled nursing and rehabilitation residents. This is a full-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

If you are a motivated and experienced healthcare professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application to [insert application instructions]. We look forward to hearing from you!