INTRODUCTION

The Davis Community is a vibrant senior living neighborhood and has been a proud corporate citizen of Wilmington, NC for over 60 years. Established as a skilled nursing facility in the early 1960s, Davis quickly became the premier healthcare center for senior care, and while they have grown and evolved, adding to services offered, we continue to be highly regarded in the region as a community that emphasizes compassion, care, and show of respect and dignity for residents.

COMMUNITY CULTURE

At The Davis Community, deliberate and diligent efforts are made to emphasize and focus on an underlying culture of respect and service that can be seen and felt by all. Employees, residents, and guests of the community are treated with respect and personalized care to the best of the organization’s ability. The desire to continue to elevate all aspects of services is preeminent so that Davis can provide an empowering and caring retirement atmosphere filled with friends, enjoyment, and a fulfilling sense of community.

• State-of-the-art Facilities
• On-demand Pay
• Benefits begin after 30 days
• Low-cost lunches
• Free Membership to our gym and indoor pool
• Shift differential
• Work-life Balance
• Growth
• Competitive Wages

We spend about 2,000 hours per year at work. Why not make that time matter! For us, ‘work that matters’ is less about what you do, and more about how you do it.

The Davis Community requires that all current and new employees, including contract staff, receive an annual influenza vaccination and TB skin test unless a reasonable or disability accommodation is granted.

BASIC PURPOSE:

The Case Manager I is responsible for providing leadership to the household in the area of quality of life and coordinating all facets of the patients stay and discharge plan. The Case Manager will ensure that residents are acclimated to and satisfied with services by working across departmental lines to ensure seamless delivery and coordination of services for the duration of the Guest stay.

MAJOR WORK ACTIVITIES:

1. Welcome and Acclimate Guest to facilities-Facilitate all services across all departments on the day of admission. Organize departmental greeting of new guests on the day of admission

2. Complete 48-hour Care Plan – Meet with guest and family member; provide introductions; staff contact information and care plan information. Discuss insurance and update emergency telephone numbers if necessary and discuss discharge plan/goal. 

3. Promotes and provides wellness programming through exercise, recreation, social interaction and awareness of daily pleasures.

4. Assist with Bed Control and room moves. Collaborate with the Admissions Team.

5. Collaborate with interdisciplinary team to facilitate discharge planning and recommendations considering all aspects of the discharge process. Coordinate with IDT to ensure constant communication exchange of information at team meetings.

6. Develop collaborative relationships with other departments, entities and external health care agencies to facilitate and support quality of care and discharge planning.

7. Contact outside resources for continuum care such as Home Health Agencies as well as DME companies to ensure a safe discharge to include wellness opportunities at The Davis Community.

8. Act as an educational resource for guests, families, and interdisciplinary team members.

9. Schedule and facilitate family meetings for potential discharge as well as updates of resident progress.

10. Daily communication guest/family contact, maintaining communication with physicians, guest care providers, and other team members regarding treatment plans in order to ascertain appropriate level of care, coordinate timely delivery of services, assist staff in identifying and addressing the learning needs of guest and families and intervene as appropriate.

11. Complete diagnosis coding in EHR, ensure EHR integrity, scan appropriate records into EHR, complete medical record requests as needed. 

12. Obtain information from medical record, interdisciplinary team, family members and the clients to assess client's capabilities, needs and interests.

13. Complete scheduled MDS assessments in a timely and accurate manner and develop care plan to meet needs of guest, based on needs assessment and client interest. Implement and follow through on care plan approaches. Document guest interactions, progress, and discharge plans in the guest medical record.

14. Monitor/Assess performance of clients, personal performance and systems to make improvements or take corrective action.

15. Collaborate with therapy weekly in regards to updates/family meetings/discharges and email the updates from this meeting to physicians and NPs.

16. Complete Life Source referral’s as needed and fax to Life Source with a Physician/NP order/face sheet and wait for approval.

17. Perform 1:1 interaction and in- room visits to meet rehab needs and document outcome. Document any conversations/interactions with guests/family members. 

18. Deliver resident/guest mail.

19. Assist guests with scheduling salon services.

20. Work with all disciplines to ensure all questions and needs are met to ensure customer satisfaction and good hospitality. 

21. Distribute satisfaction surveys and collect prior to discharge.

22. Complete FL2 for long term care Medicaid to include physician signature. Submit to NC Tracks.

23. Submit work orders for rooms that need to be painted or repairs (broke items, missing clocks/remotes etc)

24. Communicates facility philosophy, offered services and amenities to potential and new residents and/or their representatives. 

25. Acts as liaison between transferring institutions and the Center by maintaining a good rapport.

26. Conducts tours for prospective residents.

27. Attend required committee meetings and continuing education as appropriate.

28. Advocate for resident's rights, educate residents, their families and staff regarding the rights of residents outline under state/federal guidelines.

29. Demonstrate strong leadership and communication skills that are effective in working with a variety of persons, including guest, public, coworkers, guest, outside agencies and medical staff.

30. Support management/department during time of stress or change.

31. Perform other duties and responsibilities as assigned by the Administrator.

Knowledge, Skills and Working Conditions:

• Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.

Education: High School Diploma required. Bachelor’s Degree or Associates Degree preferred. 

Licensure/ Certification:  None. 

Experience: Two years of related health care/case management/discharge planning/social work or recreation experience.  

An equivalent combination of education and experience may be considered.