EDUCATION:

He/She must be a graduate of an accredited school of nursing currently registered with the state agency for nursing licensure and hold a valid nursing license in the state he/she is employed.

NURSE CASE MANAGER RESPONSIBILITIES:

• Assist with reviewing possible admissions and giving nursing approval.
• Reviewing medical necessity of current and potential residents.
• Obtaining and Maintaining managed care eligibility for residents & potential residents (pre-authorizations, continuing coverage).
• Assisting with Care Plans.
• Reviewing PASRRs, LTCMIs, and 3618/3619s.
• Maintaining the portal- ensuring that it stays clear.
• Maintaining the Survey Readiness Binder.