Sundancecreekpa is seeking a Case Manager to work remotely, utilizing clinical expertise to develop and implement care plans for residents while coordinating with healthcare providers and families. The ideal candidate should possess a nursing or social work degree and preferably a registered nursing license, with experience in clinical settings and knowledge of Medicare and Medicaid
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: 85
Sundancecreekpa is seeking a Case Manager to work remotely, utilizing clinical expertise to develop and implement care plans for residents while coordinating with healthcare providers and families. The ideal candidate should possess a nursing or social work degree and preferably a registered nursing license, with experience in clinical settings and knowledge of Medicare and Medicaid.
Skills & Requirements
Must-have
clinical expertise
critical thinking skills
collaborative care planning
resident and family communication
utilization review
care coordination
documentation
Nice-to-have
positive and effective relationships
sound judgment
cooperation and collaboration
professional and 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 programs
PCC Knowledge preferred
Certificate as a certified Case Manager (CCM) a plus