Resident Care Management Specialist - Full-Time/Part-Time 1st Shift

  • South Milwaukee
  • North Shore Healthcare Support Center
#LI-MS1 Trust, engagement, competence, respect and passion - these are the values under which North Shore Healthcare operates every day. Our dedicated team of professionals strive to deliver quality care to our residents and their families. We are one of the leading employers and providers of post-acute care in the Midwest and we are seeking exceptional individuals to join our team. If you value being a leader, working in a progressive environment and having opportunities to grow in your career, North Shore Healthcare is the Right Choice for you. Summary of position Nurse will assume the Medicare technical oversight and managed care responsibilities onsite and or in a remote capacity in a cluster of centers. They will be accountable for coordinating and overseeing the full collaborative, interdisciplinary assessment and care planning process. This process includes managing the completion of the comprehensive resident assessments; care coordination and planning; staff teaching; and adherence to the RAI guidelines. Conducting meetings, tracking payors, reviewing skilled criteria and handling the technical areas of Medicare and Managed Care are core job components. This is a manager position overseeing multiple local Centers. Requirements of the position: Required Education and Experience * Current license to practice in the State as an RN or LPN * RAI Certification via CMAC or AANAC/willing to complete * 3+ years of PDPM experience and working knowledge of state payor systems * 3+ years of skilled nursing experience with RAI/CMI focus * Working knowledge of the MDS assessment cycle and assessment information * Computer proficiency with Microsoft products Preferred Education and Experience * Experience in a fast-paced environment * Experience managing multiple Centers * Local travel approximately 75% Benefits: We offer a comprehensive benefit packages which includes: * Health insurance for full-time employees starting the first of the month following 30 days of employment * Dental and vision insurance for full and part-time staff * 401(K) Program for full and part-time staff * 6 paid holidays plus one floating holiday for full-time staff * Company paid life insurance for full-time staff * Voluntary life and disability insurance for full-time staff * Paid Time Off Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each of the communities we serve. We understand that choosing where you want to go in your career is a big decision. We would like the opportunity to show you that North Shore Healthcare is the Right Choice for you.