Alhambrapa is seeking a Case Manager RN to utilize clinical expertise in developing and implementing care plans while collaborating with residents, families, and healthcare providers. The ideal candidate will possess strong communication skills, clinical nursing experience, and a nursing or social work degree, with a focus on delivering cost-effective care
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 clinical assessments, care planning, and direct coordination of medical services when required by the role.
Matching Summary
Match Score: 75
Alhambrapa is seeking a Case Manager RN to utilize clinical expertise in developing and implementing care plans while collaborating with residents, families, and healthcare providers. The ideal candidate will possess strong communication skills, clinical nursing experience, and a nursing or social work degree, with a focus on delivering cost-effective care.
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
Nice-to-have
Relate positively with residents and staff
Promote cooperation and collaboration
Maintain professional interactions
Sound judgment in 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