RN Case

Job Title:
Case Manager (RN)

Job Summary:
Coordinates and manages the complete cycle of patient care, from admission through discharge. This role serves as the primary point of contact for residents, families, and a multidisciplinary team to ensure timely, appropriate, and cost-effective care. The Case Manager advocates for residents' needs, educates families on treatment plans, and adjusts care based on changing conditions.

Essential Duties And Responsibilities

• Develop, implement, and evaluate individualized plans of care for residents.
• Serve as a central communicator among residents, families, clinical staff, and third-party payers.
• Answer resident and family questions, ensuring they feel secure and informed about care, treatment, and progress.
• Monitor and adjust resident statuses and care plans based on changing needs and conditions.
• Oversee all admission and discharge activities, coordinating referrals to and from the facility.
• Organize and prioritize a daily caseload, managing new, current, and discharging residents.
• Complete timely and accurate documentation as required.
• Conduct utilization review activities to ensure appropriate, timely, and cost-effective care.
• Collaborate with financial services and third-party payers to coordinate care.

Qualifications

• Validr RN license in the state of employment.
• A minimum of two (2) years of clinical nursing experience is preferred.
• Knowledge of Medicare, Medi-Cal, and Medicaid programs and benefits.
• Competence with PCC Knowledge is preferred.
• Certification as a Case Manager (CCM) is a plus.

Salary : $90,000 - $120,000