Case Manager / Admissions Nurse (Licensed Nurse) - MArtha & Mary at Martha & Mary Health Services

Poulsbo, Washington, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Mar, 26

Salary

95000.0

Posted On

17 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Clinical Oversight, Communication, Customer Service, Documentation, Collaboration, Utilization Management, Quality Improvement, Leadership, Patient Advocacy, Regulatory Compliance, Nursing, Medicare Knowledge, Organizational Skills, Interdisciplinary Teamwork, Medical Record Review

Industry

Hospitals and Health Care

Description

CASE MANAGER / ADMISSIONS NURSE (RN OR LPN) Location: Martha & Mary Status: Exempt | Full-Time Pay Range: $85,000 - $95,000 annually depending on applicable experience ABOUT MARTHA & MARY At Martha & Mary, we are called to bridge generations and enrich lives. Our team is committed to providing compassionate, coordinated, and high-quality care to those we serve. If you are a skilled nurse with a passion for care coordination, advocacy, and collaboration, we invite you to join our mission-driven organization. Position Summary The Case Manager / Admissions Nurse oversees, manages, and coordinates the care experience for residents and patients from admission through discharge. Serving as the primary point of contact for care coordination, this role ensures seamless communication across interdisciplinary teams, external providers, residents, and families. The Case Manager plays a critical role in utilization management, discharge planning, quality outcomes, and patient advocacy while also providing leadership and oversight to licensed nursing staff and NACs. This position functions as an exempt role and requires flexibility to meet the needs of residents and patients. KEY RESPONSIBILITIES CARE COORDINATION & CLINICAL OVERSIGHT * Coordinate and integrate case management and social service functions into individualized plans of care and discharge planning. * Conduct medical record reviews, utilization reviews, and quality assessments from admission through discharge. * Oversee direct provision of care and ensure evidence-based practices are delivered. * Conduct Care Conferences, Warm Handovers, interdisciplinary rounds, and family conferences. * Assist with admission assessments, orders, and paperwork per DNS direction. * Coordinate admissions, discharges, transfers, and bed management with nursing leadership and admissions teams. * Communicate with primary care providers, hospital partners, and external specialists throughout the resident stay. * Initiate and present NOMNOC (denial) letters as appropriate. COLLABORATION & COMMUNICATION * Work closely with internal partners including Nursing Leadership, Social Work, Rehab Services, MDS, HIM, A/R, Therapists, and Operations. * Collaborate with external stakeholders such as family members, hospitals, discharge planners, HMOs, physicians, home health agencies, and other providers. * Serve as a resident and patient advocate, ensuring informed decision-making and family education. UTILIZATION, COMPLIANCE & QUALITY * Monitor RUG utilization, PDPM outcomes, and appropriate service use. * Conduct reviews related to falls, wounds, medication errors, readmissions, pharmacy discrepancies, and other quality indicators. * Ensure appropriate testing, timely results, and adherence to regulatory and payer requirements. * Participate in weekly Case Management meetings and continuous quality improvement initiatives. LEADERSHIP & SUPERVISION * Provide day-to-day leadership, guidance, and supervision to Licensed Nurses and NACs. * Participate in hiring, performance management, coaching, and employee development in alignment with organizational values. * Troubleshoot care concerns, complaints, and conflicts, escalating to DNS or Operations leadership as needed. ADDITIONAL DUTIES * Perform medication destruction and disposal oversight. * Assist nursing staff with care activities as needed. * Perform all regular RN or LPN duties per licensure and job description. GENERAL EXPECTATIONS * Support and uphold Martha & Mary’s mission, vision, and values. * Maintain confidentiality and professionalism at all times. * Demonstrate reliability, flexibility, and strong teamwork. * Manage multiple priorities in a fast-paced, changing environment. * Approach challenges with initiative, diplomacy, and a sense of humor. * Exhibit a genuine interest in caring for the elderly and long-term care residents. REQUIRED QUALIFICATIONS Education * Associate Degree required * Bachelor’s Degree preferred Licensure * Current RN or LPN license in the State of Washington (required) Experience * Sub-acute care or Skilled Nursing experience preferred Knowledge, Skills & Abilities * Strong knowledge of Medicare, HMO contracts, MDS, PDPM utilization, and evidence-based practices * Exceptional communication and customer service skills * Highly organized with strong documentation abilities * Ability to collaborate effectively with interdisciplinary teams * Proficiency with MS Office Suite and healthcare systems including Answers on Demand, ADP, DocSTAR, FaxCORE, and mobile technology * Ability to safely use medical devices and equipment WHY JOIN MARTHA & MARY? * Mission-driven, values-based culture * Collaborative interdisciplinary team environment * Opportunity to make a meaningful impact on resident and family experiences * Competitive compensation and comprehensive benefits Benefits: Martha & Mary offers fair wages, competitive benefits and supportive work environments, where we become friends and family. We invite you to apply and become a part of one of Kitsap County's largest not-for profit employers. The following benefits/compensation are offered at Martha & Mary. * Paid Time Off (PTO) is accrued at varying rates depending on length of employment. Accrual rates begin at 5.32 hours per month based on a 40-hour workweek. These accruals include the required sick leave per Washington State’s Paid Sick Leave Law * 40% discount on child care services while working * Comprehensive benefit package after 60 days to include medical, dental, vision and life insurance options for full time employees. * Career advancement opportunities across multiple sites and departments * 403(b) Retirement Savings Plan is available immediately upon hire * 5 Paid Holidays * Employee Assistance and Counseling for life’s challenges outside of the workplace * Cell phone, Health Club and Auto service discounts * And much more Martha & Mary employee benefits and wages offered are reviewed annually and are intended to be fair, beneficial and competitive in today’s market whether just entering our workforce or nearing retirement. Benefit offerings are based on employment status. Salary ranges, benefits and other compensation are subject to change. Martha & Mary is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Responsibilities

The Case Manager / Admissions Nurse oversees and coordinates the care experience for residents and patients from admission through discharge. This role involves ensuring effective communication across teams and managing care plans and quality outcomes.