Aviara Healthcare Center is seeking a remote Case Manager (RN or LPN) to utilize clinical expertise in developing and implementing care plans for residents while collaborating with healthcare providers and families. The ideal candidate should have a nursing degree (RN preferred), relevant experience, and knowledge of Medicare and Medicaid 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
Aviara Healthcare Center is seeking a remote Case Manager (RN or LPN) to utilize clinical expertise in developing and implementing care plans for residents while collaborating with healthcare providers and families. The ideal candidate should have a nursing degree (RN preferred), relevant experience, and knowledge of Medicare and Medicaid programs.
Skills & Requirements
Must-have
Clinical expertise and critical thinking
Develop and implement plan of care
Communicate with residents and families
Monitor and adjust resident status
Perform utilization review
Coordinate care with providers and payers
Oversee admissions and discharge
Intermediate computer skills
Nice-to-have
Relate positively with residents and staff
Sound judgment in interactions
Promote cooperation and collaboration
Maintain professional, respectful interactions
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
Certificate as a certified Case Manager (CCM) a plus
Maintain all required continuing education/licensing