Monitor and adjust resident statuses based on needs
Organize daily work for new current and discharging residents
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Balboa Nursing & Rehabilitation Center is seeking a Nurse Case Manager (RN) to oversee resident care coordination, ensuring effective communication with residents, families, and healthcare providers. The ideal candidate should possess a nursing degree, relevant clinical experience, and strong organizational and interpersonal skills.
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Job Summary
The role requires regular communication with residents and their families regarding Plans of Care and treatment protocols to ensure safety and security.
Candidates must organize and prioritize daily work by assessing the needs of new, current, and discharging residents while managing admissions and discharge activities.
The position involves performing utilization review activities to provide appropriate, timely, and cost-effective care coordinated with third-party payers.
Matching Summary
Match Score: 75
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Balboa Nursing & Rehabilitation Center is seeking a Nurse Case Manager (RN) to oversee resident care coordination, ensuring effective communication with residents, families, and healthcare providers. The ideal candidate should possess a nursing degree, relevant clinical experience, and strong organizational and interpersonal skills.
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Skills & Requirements
Must-have
Communicate regularly with residents and families
Monitor and adjust resident statuses based on needs
Organize daily work for new current and discharging residents
Complete documentation and charting accurately
Perform utilization review activities for cost effective care
Coordinate referrals to and from the facility
Nice-to-have
Ability to relate positively with all stakeholders
Excellent time management in high volume environment
Sound judgement in interactions with physicians and payers
Promote cooperation between diverse care partners
Intermediate computer skills for documentation
Key Requirements
Bachelor's Degree in Nursing or Social Work
Registered Nurse (RN) license preferred
Licensed LVN or LPN nurse acceptable
Two year clinical nursing experience preferred
Valid state license in good standing
Knowledge of Medicare, Medi-Cal, and Medicaid programs