Case Manager

Case Manager

Position Summary:  

Coordinates the delivery of rehabilitation services to patients in collaboration with the facility staff.  Continually monitors and documents the cost effectiveness of treatments provided, facilitating admission and discharge processes, serving as patient advocate and liaison to insurance carriers and other medical management professionals.

Qualifications: 

• Current California LVN or RN license in good standing
• Minimum 3 years experience in a hospital, nursing, or other related health care facility
• Working knowledge of managed care rules, regulations, and guidelines
• Outstanding communication (oral and written) skills
• Ability to multi-task and treat everyone at work kindly and professionally
• Works collaboratively and independently, following procedures and guidelines
• Completes tasks on time, reporting on successes, challenges and offering solutions
• Emotional maturity – ability to remain calm and professional under stress

Responsibilities:

• Greet new patients/residents ensuing a positive admission experience
• Evaluate and communicate resident status, changes in functions and care plans to payers
• Document all payer interactions regarding resident progress, expected outcomes and special instructions
• Meet with interdisciplinary team to coordinate services ensuring resident’s total regimen of care is maintained
• Coordinate and communicate with business office and medical records to ensure accurate census and payment of managed care and Medicare residents

Benefits:

• Competitive pay
• Health Benefits – Medical, dental, and vision coverages with company paying a substantial portion of costs (voluntary supplemental plan options available)
• 401(k) with discretionary company match annually
• Company paid Basic Life and disability insurance (Buy up options available)
• Paid Time Off (Vacation, Sick, Holiday)
• Employee Assistance program
• Tuition Assistance and Profession Enhancement Funds
• Bene-Hub employee sponsored discount programs and more….

We are proud to be an equal opportunity employer.

*Benefits available to full-time employees.

Pacific Coast Manor is a 24-hour skilled nursing facility located in Capitola, California. Our team of dedicated healthcare professionals work to help patients recover from surgery, injury, or serious illness.
As a team, we strive to exceed the expectations of those we serve, and our purpose is to provide our patients with positive rehabilitative therapy and exceptional nursing care. We want to help patients achieve their highest possible functioning level and to assist them in returning to the lowest level of care practical.