Case Manager - RN

Compensation

Salary: $90,000 - $110,000 per year.

Utilize clinical expertise and critical thinking skills to work collaboratively with residents, families, healthcare providers, insurers, community resources, and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

• Communicate regularly with residents and their families about plans of care, PT, OT and other treatment protocols.
• Attend and participate in morning meetings/stand‑up to facilitate communications with the team.
• Answer residents' questions about their care, treatment plans, illness progression and all other issues so they feel safe and secure.
• Monitor and adjust residents' statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing new, current and discharging residents' needs in areas of responsibility.
• Complete documentation as required.
• Perform utilization review activities to provide resident appropriate, timely and cost‑effective care.
• Coordinate care with residents, care providers, facility financial services, and third‑party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from the facility.
• Relate positively, effectively, and appropriately with residents, families, staff, and professionals.
• Accurate charting and ability to complete necessary paperwork in a timely manner.
• Work independently and exercise sound judgment in interactions with physicians, providers, payers, and residents and their families.
• Effectively communicate with and promote cooperation and collaboration between residents, families, caretakers, physicians, nurses, and ancillary partners.
• Exhibit excellent time‑management skills to develop organized work processes in a high‑volume environment with rapidly changing priorities.
• Intermediate computer skills.
• Maintain professional, respectful, honest interactions with residents, families, and partners.
• Perform clinical assessments, care planning, and direct coordination of medical services when required.

This position has no supervisory responsibilities.

• Bachelor's degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable.
• Two (2) years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi‑Cal and Medicaid programs and benefits.
• PCC knowledge preferred.
• Certification as a Certified Case Manager (CCM) a plus.
• Maintain all required continuing education and licensing.
• Remain in good standing with the Department of Public Health, License and Certification Division at all times.

• Primarily sedentary with frequent sitting, computer use, and documentation.
• Regular walking throughout the facility to meet with residents, families, and staff.
• Occasional standing during meetings and care conferences.
• Ability to lift and carry up to 20 pounds (files, binders, supplies).
• Clear verbal communication and vision required for chart review and resident interaction.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.