Located in the heart of sunny San Diego, The Shores Post Acute is a premier facility dedicated to providing personalized, top-tier care to our diverse community of residents. We’re proud to offer specialized programs tailored to meet the unique medical needs of each individual we serve. At The Shores, we believe that exceptional care begins with a dedicated team. Our compassionate and highly skilled professionals bring their unique talents and unwavering commitment to deliver the best care, every single day.

Why join us?

At The Shores, we provide a supportive work environment where you can gain valuable experience caring for a diverse patient population, while collaborating with compassionate colleagues who genuinely support each other. We recognize our team’s achievements to celebrate contributions to patient care and teamwork.

Position Overview:

The Case Manager Assistant role involves coordinating delivery of services to managed care and Medicare residents in collaboration with the facility's team members. 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. The Case Manager monitors and documents the cost effectiveness of treatment provided, facilitates and coordinates the admission and discharge process, serves as the resident and family advocate and acts as a liaison to insurance and medical management professionals.

• 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 the care team and coordinates the 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,
• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered.
• Handle case assignments, review case progress and determine case closure.
• Help clients achieve wellness and autonomy.

Facilitate multiple care aspects (case coordination, information sharing, etc).

• Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options.
• Develop effective working relations and cooperate with the medical team throughout the entire case management process.
• Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction Record cases information, complete accurately all necessary forms,
• Help with staffing if necessary.
• Ensure that daily skilled documentation is in place for skilled patients.
• Works collaboratively with Rehab, MDS Coordinator, Business Office, Admissions, ADONs and DONs.
• Conduct PPS/Skilled Kaiser Meetings as scheduled,
• Prepares and updates MCR/ Skilled Tracking Sheet.

Qualifications:

• Completion of an accredited Medical Assistant program (CAAHEP or ABHES recommended)
• Preferred: Certification as a Medical Assistant (e.g., AAMA, AMCA, NCCT)
• Preferred: Bachelor's degree in nursing, healthcare administration, social work, or a related field
• Optional but highly desirable: Certified Case Manager (CCM) credential
• At least 1-2 years of clinical experience as a Medical Assistant, preferably in long-term care or geriatric settings
• Prior experience in case management, care coordination, discharge planning, or utilization review in a healthcare setting (SNF experience strongly preferred)

What We Offer:

• Medical, Dental, and Vision coverage.
• Additional options like Accident Insurance and Hospitalization plans.
• Life and AD&D insurance included for full-time employees.
• 401(k) retirement savings.
• Paid time off: Vacation, Holidays, and Sick Leave.
• Supportive and collaborative work environment.
  
• Paid orientation and training programs.