Complete utilization review activities for cost effective care
The Nurse Case Manager position at Santa Cruz Post Acute involves overseeing resident care, coordinating treatment plans, and ensuring effective communication with families and healthcare providers. Candidates should possess a nursing or social work degree, an RN or LVN/LPN license, and have experience in clinical nursing, with knowledge of Medicare and Medicaid programs being essential
Job Summary
The role requires regular communication with residents and their families regarding Plans of Care and treatment protocols.
Candidates must monitor resident statuses, organize daily work priorities, and perform utilization review activities to ensure appropriate care.
The position involves overseeing all admission and discharge activities while coordinating with physicians, payers, and financial services.
Matching Summary
Match Score: 85
The Nurse Case Manager position at Santa Cruz Post Acute involves overseeing resident care, coordinating treatment plans, and ensuring effective communication with families and healthcare providers. Candidates should possess a nursing or social work degree, an RN or LVN/LPN license, and have experience in clinical nursing, with knowledge of Medicare and Medicaid programs being essential.
Salary
Not specified; Not specified; Not specified
Skills & Requirements
Must-have
Regular communication with residents and families
Monitor and adjust resident status based on needs
Complete utilization review activities for cost effective care
Accurate charting and timely documentation completion
Coordinate referrals to and from the facility
Nice-to-have
Ability to work independently with sound judgement
Excellent time management in high volume environment
Positive and respectful interactions with all partners
Intermediate computer skills for data entry
Key Requirements
Bachelor's Degree in Nursing or Social Work
Valid RN, LVN, or LPN license in the state
Two years clinical nursing experience preferred
Knowledge of Medicare, Medi-Cal, and Medicaid programs
Certified Case Manager (CCM) certificate is a plus