Case Manager (rn Or Lpn)

PACS Group

Remote
Fully remote
Clinical expertise and critical thinking
Develop and implement plan of care
Communicate with residents and families
PACS Group is seeking a remote Case Manager (RN or LPN) to utilize clinical expertise for developing and implementing care plans for residents, collaborating with various stakeholders to ensure quality care while being mindful of costs. The ideal candidate should possess a nursing or social work degree, have clinical experience, and be knowledgeable about Medicare and Medicaid programs

Job Summary

  • Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, 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 family about Plans of Care, PT, OT and other treatment protocols.
  • Performs utilization review activities to provide resident appropriate, timely and cost-effective care.

Matching Summary

Match Score: 85

PACS Group is seeking a remote Case Manager (RN or LPN) to utilize clinical expertise for developing and implementing care plans for residents, collaborating with various stakeholders to ensure quality care while being mindful of costs. The ideal candidate should possess a nursing or social work degree, have clinical experience, and be knowledgeable about Medicare and Medicaid programs.

Skills & Requirements

Must-have

  • Clinical expertise and critical thinking
  • Develop and implement plan of care
  • Communicate with residents and families
  • Monitor and adjust resident status
  • Perform utilization review
  • Coordinate care with providers and payers
  • Intermediate computer skills

Nice-to-have

  • Relate positively with residents and staff
  • Maintain professional interactions
  • Promote cooperation and collaboration

Key Requirements

  • RN license preferred
  • LVN or LPN license acceptable
  • Two (2) years of clinical nursing experience
  • Knowledge of Medicare, Medi-cal and Medicaid
  • PCC Knowledge preferred
  • Certificate as a certified Case Manager (CCM) a plus

Work Rights

Not specified

Tailored Resume

Cover Letter