This position is responsible for:
- Routine case management, discharge planning, swing bed coordinator and utilization review duties.
- Evaluating and screening potential admissions to the facilities swing bed program
- knowledgeable of criteria for Medicare, Medicaid, HMO, swing bed and private insurance coverage
- Initiate ongoing communication with the resident and resident's family to assess discharge needs.
- Actively involvement in daily rounds with bedside staff, physicians and ancillary team members
- Communicate with physicians to ascertain their plans for a timely discharge.
- document updates and discharge planning as an ongoing review.
- Manage and collaborate with the healthcare team on swing bed placement and complete MDS documentation as necessary.
- assist with obtaining referrals, prior authorization for Home Health Care, CME, SNF, acute rehab and appointments.
- Educates physicians and staff regarding appropriate level of care/utilization and required documentation that meets admission status
- Run Interqual for each IP and OBS patient admitted to the floor
Job Start Date: 07/13/2026
Shift Information: 0800-1630