Case Manager RN

Job Description

Case Manager, RN
Clermont Park Community

At Clermont Park, we believe in a thriving culture built on strong relationships — where care partners and residents alike are truly known.
We're seeking an experienced RN with case management experience to lead our rehab neighborhood and serve as part of our Community's leadership team.

This role supports residents who come to Clermont Park for rehabilitation services, guiding them through a successful transition from skilled nursing care back to their home environment. Weekend On-call rotation (every 3 weeks) required.

The Care Transitions Manager assumes responsibility and accountability for collaborating with, directing, and coordinating the care and services provided by the skilled nursing community to align with each resident's goals, as well as those of acute and post-acute continuum care providers. This role facilitates a successful transition from the skilled community into the home environment, using educational materials and support to encourage residents, families, and providers to play an active role in the resident's total well-being.

The Care Transitions Manager helps residents build confidence and skill in managing their own care, providing guidance that improves self-management and strengthens provider-to-resident communication. This role also facilitates interdisciplinary communication and collaboration across multiple care settings, and serves as part of the Community's leadership team — stepping in as Director of Nursing when needed.

• Directs and coordinates resident care and services to align with individual goals and continuum-of-care provider expectations
• Facilitates successful care transitions from the skilled nursing community to home, using education and resources to engage residents and families
• Supports residents in developing proficiency and confidence in managing their own care
• Fosters interdisciplinary communication and collaboration across care settings
• Assists the Director in managing an assigned team, including coaching, training, corrective action planning, goal setting, interviewing applicants, and conducting performance appraisals
• Manages rehabilitation services, including vendor relationships, team rehab competencies, and training
• May act as Director of Nursing in the Director's absence
• Participates in on-call rotation

• Active RN license in good standing
• Case management experience required
• Prior leadership or supervisory experience preferred
• Strong communication, coaching, and relationship-building skills
• Comfortable managing vendor relationships and cross-team collaboration
• Willingness to participate in on-call rotation

At Clermont Park, you'll be part of a leadership team that values genuine relationships and puts residents' well-being at the center of everything we do. If you're an experienced RN ready to lead with heart and help residents thrive through their transition home, we'd love to talk with you.

Qualifications:
Qualifications

• Coordinates team members' work and communication to support resident goals, continuity of care, and reduced readmission risk
• Conducts post-admission screening and PAM assessments; coaches residents to build knowledge, activation, and engagement in their care
• Develops coaching relationships with residents and families, helping set measurable, resident-driven care goals
• Oversees care conferences, care plan updates, Med A meetings, discharge planning, and case management
• Implements resident education and disease management materials
• Applies INTERACT tools and evaluates readmissions to drive QAPI and quality improvement recommendations
• Identifies residents needing advanced care planning and initiates…