• Working knowledge of skilled nursing facility operations and the impact of Case Management.
• A broad knowledge of the healthcare industry in a multi-state environment, managing multiple payor types, managed care industry, and integrated delivery systems.
• Strong analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes.
• Demonstrated understanding of CMS rules and regulations for Skilled and LTC nursing care.
• Strong written and oral communication skills to effectively work through an organization to influence change.
• Ability to forge effective working relationships with key executives, helping them better understand the financial implications of their operations.
• Ability to build, develop, educate and maintain an effective team.
• Ability to collaborate with multiple departments to obtain Case Management goals.
• High degree of interpersonal skills
• Ability to obtain buy in from others and/or gain the acceptance of others in difficult situations.
• Strong information system skills that allow operational and strategic application of technology to enhance Case Management operations.
• Must demonstrate personal traits of a high level of commitment, motivation, and energy; team orientation; professionalism; trust; personal honesty and integrity; and a demonstration of treating all others with dignity and respect.

• Provide daily leadership, support, direction, and training to Divisional and Regional teams.
• Provide support to Divisional Leadership.
• Provide leadership across the company to optimize results in all aspects of Case Management.
• Provide leadership within the company by diagnosing, evaluating, and developing corrective actions that result in the optimization of Case Management and Revenue Cycle operations. Make actionable recommendations that are supported by data analysis and create metrics to measure progress.
• Identify need for standardization and adoption of processes, reporting, and the case management model across the enterprise.
• Work collaboratively with the VP of Revenue Cycle to identify new Case Managment initiatives and support/implement/monitor existing initiatives across the ministry.
• Work collaboratively with the Finance team on determining contractuals, allowances, and reserving. Ensure that all internal controls are in place for compliance with GAAP guidelines & EOFY audits.
• Collaborate with the Corporate Director of Managed Care, the Reimbursement Department, and the Revenue Cycle team to address payment issues related to case management.
• Develop strategies to optimize maximum reimbursement rates per contracts.
• Utilize team-building concepts to facilitate communication and direction that support the corporate mission, vision, and values.
• Provide leadership in regard to payor management.
• Assure compliance with all applicable legal and regulatory requirements for Case Management and Revenue Cycle.
• Uphold the mission, vision, and values of Communicare Health Services.
• Conduct all aspects of business with the highest level of integrity and ethics.

A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients and family members care for and about one another.