Nurse Case Manager -rn

PACS

**
Regular communication with residents and families
Monitor and adjust resident status changes
Complete utilization review activities
** PACS is seeking a Nurse Case Manager to coordinate and communicate care plans with residents and their families, ensuring timely and effective healthcare delivery. The ideal candidate should have a nursing or social work background, possess strong communication skills, and have experience in clinical nursing, particularly with knowledge of Medicare and Medicaid programs. **

Job Summary

  • The role involves communicating regularly with residents and their families about Plans of Care and treatment protocols to ensure safety and security.
  • Responsibilities include monitoring resident statuses, organizing daily work priorities, and performing utilization review activities for cost-effective care.
  • The position requires coordinating care across multiple stakeholders including physicians, financial services, and third-party payers while managing admissions and discharges.

Matching Summary

Match Score: 75

** PACS is seeking a Nurse Case Manager to coordinate and communicate care plans with residents and their families, ensuring timely and effective healthcare delivery. The ideal candidate should have a nursing or social work background, possess strong communication skills, and have experience in clinical nursing, particularly with knowledge of Medicare and Medicaid programs. **

Skills & Requirements

Must-have

  • Regular communication with residents and families
  • Monitor and adjust resident status changes
  • Complete utilization review activities
  • Oversee all admissions and discharge activities
  • Accurate charting and timely documentation

Nice-to-have

  • Ability to work independently with sound judgement
  • Excellent time management in high volume environment
  • Positive and effective interpersonal interactions
  • Intermediate computer skills proficiency

Key Requirements

  • Bachelor's Degree in Nursing or Social Work
  • Registered Nurse (RN) license preferred
  • Licensed LVN or LPN acceptable
  • Two years clinical nursing experience preferred
  • Valid state nursing license required
  • Knowledge of Medicare, Medicaid, and Medi-Cal programs

Work Rights

Not specified

Tailored Resume

Cover Letter