Case Management services are generally focused on members who fall into one or more high risk or high cost groups and require significant clinical judgment, independent analysis, critical-thinking, detailed knowledge of departmental procedures, clinical guidelines, community resources, contracting and community standards of care. Case Management includes assessment, coordination, planning, monitoring and evaluation of multiple environments.

1. Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other departments, external service organizations, agencies and healthcare facilities.

2. Conducts concurrent medical record review using specific indicators and criteria as approved by medical staff.

3. Promotes effective and efficient utilization of clinical resources and mobilizes resources to assist in achieving desired clinical outcomes within specific time frame.

4. Conducts review for appropriate utilization of services from admission through discharge. Evaluates patient satisfaction and quality of care provided.

5. Communicates with physicians at regular intervals throughout hospitalization and develops an effective working relationship. Assists physicians in maintaining appropriate cost, case and desired patient outcomes.

6. Responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes.

7. Working with the complex care needs.

REQUIREMENTS:

• Licensed RN or LPN with 2 years case management experience.
• Experience in insurance-based case management REQUIRED. Previous computer experience, particularly with the use of Microsoft Office is required.

• Thorough knowledge of case management principles, healthcare management and reimbursement.
  

• Knowledge of CMS guidelines and experience working with payor specific guidelines and contractual rules preferred.
  

• Customer service abilities including effective listening skills.
  

• Critical thinking skills, decisive judgment and the ability to work with minimal supervision meeting firm deadlines.
  

• Assertive and persuasive communication skills (written and verbal), action oriented.
  

• Ability to convey medical terms and treatment plans so they are understood by patients and their caregivers.
  

• Excellent organizational, record keeping, and time management skills.
  

• Astute problem-solving skills with the ability to multi-task.
  

• Compassionate and empathetic demeanor with the ability to work both independently and in a group/team environment.

DESCRIPTION:

• Maintains all heating, ventilation, air-conditioning and refrigeration systems in a safe and proper working order
• Writes programs for, and performs preventive maintenance on all hospital equipment in the Physical Plant.
• Performs emergency service when necessary.

REQUIREMENTS/EDUCATION/EXPERIENCE:

• High school graduate
• Post-high school training in the HVAC field is essential.
• Two years of specific HVAC experience is required; four years preferred.

The Billing Representative is responsible for the billing and follow-up of government and third party insurance claims. Performs timely billing and follow-up of claims to ensure continuous cash-in-flows according to departmental guidelines. Duties to also extend to the billing and collection of co-insurance plus effecting necessary adjustments to ensure a correct patient status. All communications will be conducted in a manner consistent with positive patient and customer relations.

1. Responsible for billing government and third party insurance claims in a timely and accurate manner.
2. Maintains files consistent with departmental policy.
3. Identifies and resolves issues with patients and insurance companies to ensure timely and accurate reimbursement.
4. Follows up past due primary insurance and co-insurance issues.
5. Ensures positive communication with other departments, staff and management.
6. Reviews and communicates to management any and all changes in billing process and procedures that will have an impact upon organization revenue and reimbursement.
7. Prepares necessary files and documents as appropriate.

EDUCATION: High school graduate required. Some post-secondary training in general business required.

EXPERIENCE: More than one year billing experience is required. Specific hospital/nursing home environment is preferred.

• 12-hour shifts (7AM-7PM or 7PM-7AM)
• Minimum 1-year nursing experience required.
• Must be licensed in the Commonwealth of Virginia
• Experience in a hospital setting preferred
• Sign-on bonuses!! (for RN’s & LPN’s)

JOB SUMMARY

The Staff Development Educator functions under the direction and guidance of the Director of Staff Development. The incumbent serves as a consultant, charge agent, and facilitator in assessing learning needs and in planning, implementing, and evaluating educational activities for hospital staff. The individual must demonstrate knowledge of the needs of residents of all ages in a long term care setting.

ESSENTIAL JOB DUTIES

Participates in the formulation of the philosophy and objectives for the Staff Development Department.

Collaborates with managers and staff to assess learning needs.

Plans and implements educational activities to meet identified learning needs, utilizing adult learning principles and strategies.

Plans and implements orientation for all newly hired Nursing personnel.

Develops and utilizes appropriate evaluation systems to determine effectiveness of educational activities.

Ensures proper documentation which reflects educational activities.

Promotes and demonstrates collaborative relationships among health care professionals.

Participates in committees, task forces, meetings, and activities to assist in the development of staff, ultimately resulting in the improvement of patient/resident care.

Participates in activities that promote professional development through education and other activities that enhance the practice of nursing education.

Functions as a liaison with area schools of nursing (RN, LPN, CNA).

Description:
Performs a wide variety of electrical, mechanical, and installation duties, with an emphasis on plumbing. Includes using technical training and acquired skills as well as prints, schematics, technical manuals and departmental procedures to maintain physical plant, equipment and systems. Duties include:

* Plumbing
* Carpentry
* Painting
* Other skills required to maintain a safe and clean facility.

Education/Special Skills Required:

• Must be able to work on a team of maintenance techs and other specialists, as well as be able to work on your own.
• One or more years of comparable experience is required.
• A valid and clean driver’s license is required, as this person will be required to drive a company vehicle.
• High school graduate or GED.
• Schedule: 7:30AM-4PM (Mon.-Fri.)
• Occasional weekends.

DESCRIPTION

The Admissions Coordinator facilitates the admission function with responsibility for the transition of patient referrals to admissions with verification of accurate financial information and prompt communication with all stakeholders in the admission process.

* Admissions-related experience in long term/skilled nursing care.
* Knowledge of Medicare, Medicaid and commercial insurance procedures required.
* Excellent communication skills.
* High degree of professionalism.
* Working knowledge of computer and software applications.

Candidate must have long-term care admissions experience and/or be licensed to practice as a  registered nurse in the Commonwealth of Virginia. Must be a team player and have excellent communication skills.

DESCRIPTION:

• Ensures the care and proper use of hand and power tools and building materials intended for the repair of valuable plant equipment including piping, controls and the operation of institutional electrical systems.
• Performs the installation and maintenance of all electrical wiring, devices, and components common to building operations.
• Operates, installs, repairs, and maintains electrical equipment such as emergency generators, transformers, switchboards, controllers, circuit protection, motors, lighting, conduit systems, and other current carrying equipment.
• Utilizes blueprints and specifications. Locates and diagnoses electrical troubles.
• Estimates loads, requirements and materials for repairs and installations.
• Performs general building maintenance, repairs, moves, or other work related to building operations, as determined by the manager.

EDUCATION/SKILLS REQUIRED:

• High School diploma or GED required .
• Master Electrician’s license required.
• 3-5 years related work experience required.
• Graduate of a High school or technical school, and apprenticeship.
• Three to five years experience in industrial or institutional maintenance, or institutional construction.
• Familiarity with mechanical and electrical equipment associated with healthcare facilities, blueprint reading, and electrical materials estimating.
• Valid, unencumbered driver’s license required.
• Basic familiarity with computers.
• May require occasional weekends.