SNF / Rehab Specialist (Nashville, TN)
Cigna 1,035 reviews - Nashville, TN

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Job Description

Responsibilities

Coordinates and supervises skilled nursing and rehabilitative services provided to residents in a Skilled Nursing Facility (SNF) or rehabilitation setting. Coordinates the transition of members from the community or acute setting to the sub-acute setting. Follows established facility policies and procedures.

Responsible for coordinating the delivery of cost-effective, quality-based health care services for health plan members by the assessment of medical necessity, assisting with placement and monitoring the level of care for members who require skilled nursing placement, rehabilitation and or sub-acute services. Collaborates with medical directors, inpatient review nurses and facility personnel in determining discharge planning needs and coverage parameters. Other duties as assigned.. Requirements

Qualifications

Minimum: Current Licensure as a Physical Therapist (PT), Physical Therapist Assistant (PTA), Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), or Social Worker (LSW). At least five years experience in clinical practice, managed care or social services environment.

Preferred: At least two years recent experience in case-management or utilization management. Five years recent experience in an acute care or skilled nursing facility environment..

About this company
1,035 reviews
Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security....