Director Care Coordination

Overview

Summit View of Rocky Top is located at 204 Industrial Park Rd, Rocky Top, TN 37769.Our privately owned and spacious campus is home to 83-beds that are dually certified for both skilled and long-term care options as well as a 22-bed secured memory care unit. The facility offers a wide variety of services including, Physical, Speech, and Occupational therapies. Our campus has a private courtyard with a gazebo and an energetic activities department.Our privately owned and spacious campus is home to 83-beds that are dually certified for both skilled and long-term care options as well as a 22-bed secured memory care unit. The facility offers a wide variety of services including, Physical, Speech, and Occupational therapies. Our campus has a private courtyard with a gazebo and an energetic activities department.

Benefits:

• Dental insurance

• Disability insurance

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

Responsibilities

• Facilitate daily care coordination meetings to align care resources with patient needs and benefits.

• Participate in and facilitate Engage/72 HR Admission meetings as part of the care management system.

• Manage the restorative nursing program, integrating it with the activity department.

• Ensure timely communication with patients and families regarding changes in condition and discharge planning.

• Collaborate with the clinical team to develop and execute care plans.

• Coordinate discharge planning and post-discharge communication, including home health and DME.

• Monitor Quality Measures alongside the care coordination team.

• Serve as a skilled care documentation specialist, ensuring accurate and timely completion of Medicare and Managed Care regulatory guidelines.

• Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.

Qualifications

Degree in nursing, therapy or other related clinical field (i.e. social services), must hold a current license in respective field. Knowledge of healthcare reimbursement, utilization management, and discharge planning. Experience providing strategic leadership, managing teams and leading projects required. Ability to formulate and implement short and long term strategic plans Strong verbal, written and interpersonal skills. Must have proven ability to lead a team to achieve desired outcomes of team Strong communication and organizational skills required Must have knowledge of PDPM requirements of insurers Must have understanding of regulatory requirements Previous case management experience preferred

(EOE)