The role utilizes clinical expertise to collaborate with residents, families, and providers to develop cost-effective plans of care
Job Summary
The role utilizes clinical expertise to collaborate with residents, families, and providers to develop cost-effective plans of care.
Employees must monitor resident statuses, coordinate admissions and discharges, and perform utilization reviews to ensure timely care.
The position requires maintaining professional interactions with all stakeholders while managing a high-volume environment with rapidly changing priorities.
Matching Summary
The role utilizes clinical expertise to collaborate with residents, families, and providers to develop cost-effective plans of care.
Skills & Requirements
Must-have
Bachelor's Degree in Nursing or Social Work
Registered Nurse license preferred
Medicare Medi-cal Medicaid knowledge
Utilization review activities
Clinical assessments and care planning
Nice-to-have
Certified Case Manager (CCM) certificate
PCC Knowledge preferred
Excellent time management skills
Intermediate computer skills
Sound judgement in interactions
Key Requirements
Bachelor's Degree in Nursing or Social Work
RN license preferred; LVN/LPN acceptable
Two years of clinical nursing experience
Knowledge of Medicare, Medi-cal, and Medicaid programs
Maintain good standing with Department of Public Health