Complete utilization review activities for cost effective care
Pacific Coast Post Acute is seeking a Nurse Case Manager (RN) to facilitate communication with residents and their families regarding care plans, monitor resident statuses, and coordinate care with various stakeholders. The ideal candidate should possess relevant nursing qualifications, communication skills, and the ability to manage a high-volume environment
Job Summary
The role involves communicating regularly with residents and their families about Plans of Care and treatment protocols.
Responsibilities include monitoring resident statuses, adjusting care plans based on changing conditions, and performing utilization reviews.
The position requires coordinating referrals, overseeing admissions and discharges, and maintaining accurate documentation in a timely manner.
Matching Summary
Match Score: 85
Pacific Coast Post Acute is seeking a Nurse Case Manager (RN) to facilitate communication with residents and their families regarding care plans, monitor resident statuses, and coordinate care with various stakeholders. The ideal candidate should possess relevant nursing qualifications, communication skills, and the ability to manage a high-volume environment.
Skills & Requirements
Must-have
Coordinate care with residents and families
Monitor resident status based on changing needs
Complete utilization review activities for cost effective care
Oversee admissions and discharge activities
Maintain accurate charting and documentation
Nice-to-have
Ability to relate positively with staff and colleagues
Excellent time management in high volume environment
Sound judgement in interactions with physicians and payers
Promote cooperation between diverse healthcare partners
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 license required
Knowledge of Medicare, Medi cal and Medicaid programs