Title PRN Centralized Intake Referral Manager (Pre-cert Case Manager)  EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.   About the Organization ProMedica is a mission-based, not-for-profit health and well-being organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 45,000 employees, 11 hospitals, 2,100+ physicians and advanced practice providers with privileges, 1,000+ healthcare providers employed by ProMedica Physicians, a health plan, and senior care services. ProMedica`s senior care division operates 330+ assisted living facilities, skilled nursing centers, memory care communities and hospice, palliative and home health care agencies. Services are provided in 26 states and the majority now operate under the ProMedica brand and Arden Courts. Over the next few months, the rest of our entities under the Heartland and ManorCare names will rebrand to ProMedica. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address and lead in social determinants of health, champion healthy aging and cultivate innovative solutions. For more information about ProMedica senior care services, please visit www.promedicaseniorcare.org.   Specific Job Detail None Specified  Sign-on Bonus None Specified  Description ProMedica Senior Care provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy. Job Summary The PRN Centralized Intake Referral Manager (Precertification Case Manager) is responsible for ensuring patient's meet Skilled Nursing Facility criteria for placement after an acute stay or from the community to prevent re-hospitalizations. The Centralized Intake Referral Manager (Precertification Case Manager) is responsible for working directly with the Managed Care Organizations to obtain approval and assist with patient placement. They are responsible for the Key Account Management for the Managed Care Organizations, daily and monthly reports on efficiency and outcomes.   Educational Requirements College degree in the health & human service field required. Current, active, and unrestricted licensure or certification in a health or human services discipline preferred.   Position Requirements Minimum two (2) years experience in medial case management. Comprehensive knowledge of workers' compensation, insurance, and managed care, required. Ability to negotiate coverage and provide complete and timely case mgmt reports, required. Prior experience with an insurance company, private case mgmt. Company, or HMO, preferred. Familiarity with long- term care and/or sub acute care, useful. Strong oral and written communication skills, required.   Location 468 - ProMedica Skilled Nursing and Rehabilitation - Hinsdale, IL   This position is currently not accepting applications. To search for an open position, please go to http://hcrNews.appone.com WE ALSO RECOMMEND Other Jobs Within Same Category Admissions Nurse - Hospice in Roanoke, VA Posted on: 5/26/2022 [Apply Now] Care Coordination and Utilization Manager in Allentown, PA Posted on: 5/25/2022 [Apply Now] PRN Care Coordination and Utilization Manager in Pittsburgh, PA Posted on: 5/25/2022 [Apply Now] Care Transition Coordinator in Tacoma, WA Posted on: 5/25/2022 [Apply Now] Liaison RN - Hospice in Westmont, IL Posted on: 5/25/2022 [Apply Now] Other Jobs Within 60 Miles Building Services Coordinator in Glen Ellyn, IL Posted on: 5/23/2022 [Apply Now] Director of Maintenance in Libertyville, IL Posted on: 5/4/2022 [Apply Now] Director of Maintenance in Libertyville, IL Posted on: 5/18/2022 [Apply Now] Director of Maintenance in Oak Lawn , IL Posted on: 4/15/2022 [Apply Now] Human Resources Generalist in Arlington Heights, IL Posted on: 5/23/2022 [Apply Now]

AppOne.comTM   copyrightŠ1999-2021 HR Services, Inc. Click here for technical assistance.