Case Manager (Licensed)
Core
Develop and implement cost-effective plans of care for residents by coordinating with healthcare providers, families, and community resources.
Role type
Licensed Case Manager (Clinical)
Builds
Individualized care plans and care coordination workflows
Domain
Healthcare / Long-term care / Social work
Deliverable
client delivery
Required skills
Clinical assessment, care planning, utilization review, care coordination, admissions/discharge management, regulatory compliance, documentation, Medicare/Medicaid knowledge
Preferred skills
Registered Nurse (RN) license, Certified Case Manager (CCM), 2+ years clinical nursing experience, PCC knowledge
Technologies
Electronic health records (EHR), computer systems
Responsibilities
Communicate care plans and treatment protocols to residents and families; monitor and adjust resident status based on changing needs; oversee admissions and discharge activities; coordinate referrals between facility and external providers; perform utilization review to ensure cost-effective care; complete required clinical documentation and charting.
Seniority
Individual Contributor, mid-level
