Complete utilization review activities for cost effective care
The Nurse Case Manager position at SNFJobs involves coordinating care for residents, communicating with families about treatment plans, and ensuring timely documentation and compliance with healthcare standards. The ideal candidate should have a nursing or social work background, strong communication skills, and the ability to manage a high-volume workload effectively
Job Summary
The role requires regular communication with residents and their families regarding Plans of Care and treatment protocols to ensure safety and security.
Responsibilities include monitoring resident statuses, organizing daily work priorities, and performing utilization reviews to provide appropriate and cost-effective care.
The position involves coordinating referrals, overseeing admissions and discharges, and collaborating with physicians, financial services, and third-party payers.
Matching Summary
Match Score: 75
The Nurse Case Manager position at SNFJobs involves coordinating care for residents, communicating with families about treatment plans, and ensuring timely documentation and compliance with healthcare standards. The ideal candidate should have a nursing or social work background, strong communication skills, and the ability to manage a high-volume workload effectively.
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
Oversee all admissions and discharge activities
Accurate charting and timely paperwork completion
Nice-to-have
Ability to work independently with sound judgement
Excellent time management in high volume environment
Positive and respectful interactions with staff partners
Key Requirements
Bachelor's Degree in Nursing or Social Work
Registered Nurse (RN) license preferred
Licensed LVN or LPN nurse acceptable
Two years clinical nursing experience preferred
Valid state license required
Knowledge of Medicare, Medicaid, and Medi-Cal programs