Case Manager - Skilled Nursing Facility - King of Prussia, Pennsylvania -

Travel/Contract Nursing Job in
King of Prussia , Pennsylvania, 19406

  • Employer: HCR ManorCare
  • Profession: Registered Nurse
  • Specialty: Skilled Nursing / Long Term Care

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HCR ManorCare 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.


Responsible for facilitating interdisciplinary plans and assuring progress reports are completed and provided to payor as required; Also serves as liaison between patient, physician, care team members, payor, and the discharge planner by coordinating, monitoring, and communicating patient’s progress and cost evaluation and assisting with coordination to the next level of care.

In return for your expertise, you’ll enjoy excellent training, industry-leading benefits and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.


* Negotiates appropriate level of care within contract terms with the payor case manager; Utilizes “Out of Contract Pricing Worksheet” for non-contracted arrangements.
* Communicates information to care team and coordinates patient's smooth transition to the next level of care.
* Obtains accurate information from physicians, patient, and payor source regarding the expected discharge plan and communicates this information to the interdisciplinary team
* Develops referrals from hospitals' social service and discharge planning departments, physicians, case managers, insurance companies and other referral sources
* Participates in Marketing Action Plan and Key Account Meetings, and assumes Key Account Management responsibilities as directed by their supervisor.
* Visits hospital social workers, physicians, hospital discharge planners and administrators, attorneys, support organizations (i.e., oncology, stroke, head injury, etc.) , civic/professional organizations, etc. to understand the need for program services and to communicate services offered which meet these needs to obtain referrals of patients;251355179;x?

Job Requirements

Minimum two years medical, clinical, concurrent review or
pre-certification case management experience preferred. Comprehensive
knowledge of workers' compensation, insurance, and managed care
required. Ability to negotiate coverage and provide complete and
timely case management reports required. Prior experience with an
insurance company, private case management company or HMO preferred.
Familiarity with long- term care and/or sub-acute care useful. Strong
oral, written, and organizational communication skills required.


King of Prussia, Pennsylvania , 19406

Employment Type



HCR ManorCare

Date Posted

Aug 16th, 2019

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