Gateway Post Acute is seeking a remote Case Manager to utilize clinical expertise and critical thinking to collaborate with residents, families, healthcare providers, and insurers in developing care plans. The role requires strong communication skills, clinical assessments, and knowledge of relevant healthcare 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.
Perform utilization review activities to provide resident appropriate, timely and cost-effective care.
Matching Summary
Match Score: 85
Gateway Post Acute is seeking a remote Case Manager to utilize clinical expertise and critical thinking to collaborate with residents, families, healthcare providers, and insurers in developing care plans. The role requires strong communication skills, clinical assessments, and knowledge of relevant healthcare programs.
Skills & Requirements
Must-have
clinical expertise and critical thinking
collaborative care planning
resident and family communication
utilization review activities
coordinate referrals
intermediate computer skills
maintain professional interactions
Nice-to-have
sensitive to costs and resources
promote cooperation and collaboration
organized work processes
sound judgement
Key Requirements
Bachelor’s Degree in Nursing or Social Work
Registered Nurse (RN) license preferred
Licensed (LVN or LPN) nurse acceptable
Two (2) years of clinical nursing experience
Knowledge of Medicare, Medi-cal and Medicaid programs
PCC Knowledge preferred
Certificate as a certified Case Manager (CCM) a plus