RN Case Manager
Position Summary
The RN Case Manager is responsible for coordinating and overseeing the delivery of rehabilitation and medical services for residents in a Skilled Nursing Facility. This role collaborates closely with the interdisciplinary team to ensure cost-effective, high-quality care while facilitating admissions, ongoing utilization review, and discharge planning. The RN Case Manager serves as a resident advocate and primary liaison between the facility, insurance payers, and external medical management professionals.
Qualifications
- Current California RN license in good standing
- Minimum of 3 years of clinical experience in a hospital, skilled nursing facility, or related healthcare setting
- Strong working knowledge of managed care, Medicare, and utilization review guidelines
- Excellent verbal and written communication skills
- Proven ability to multitask, prioritize, and meet deadlines
- Ability to work both independently and collaboratively while following established procedures and regulations
- Demonstrates professionalism, accountability, and solution-oriented thinking
- Displays emotional maturity with the ability to remain calm, focused, and professional in high-pressure situations
- Treats residents, families, and coworkers with respect, kindness, and professionalism at all times
Responsibilities
- Welcome and orient new residents, ensuring a positive and supportive admission experience
- Assess, monitor, and communicate resident clinical status, functional changes, and care plan updates to insurance payers
- Document all payer communications, including resident progress, anticipated outcomes, authorizations, and special instructions
- Participate in and collaborate with the interdisciplinary team to coordinate services and maintain continuity of care
- Coordinate with the Business Office and Medical Records departments to ensure accurate census reporting and timely reimbursement for managed care and Medicare residents
- Support efficient discharge planning to promote safe transitions of care
Benefits
- Competitive compensation
- Comprehensive health benefits including medical, dental, and vision, with the company covering a substantial portion of premiums
- 401(k) retirement plan with discretionary annual company match
- Company-paid basic life insurance and disability coverage (voluntary buy-up options available)
- Paid Time Off (vacation, sick, and holiday pay)
- Employee Assistance Program (EAP)
- Tuition Assistance and Professional Development funds
- Bene-Hub employee discount programs and additional perks
*Benefits available to full-time employees.
We are proud to be an Equal Opportunity Employer.
Work schedule
- 8 hour shift
Supplemental pay
- Signing bonus