Case Manager-Skilled Nursing -PT (41027) at Seacrest Village Retirement Communities-Best Place

Encinitas, California, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Apr, 26

Salary

52.0

Posted On

03 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

CNA, LVN, RN, BLS Certification, Care Plans, Healthcare Services, Interdisciplinary Teams, Insurance Coordination, Regulatory Compliance, Patient Education, Emotional Support, Documentation, Utilization Management, Cost-Effectiveness, Medical Records Review, Healthcare Options

Industry

Hospitals and Health Care

Description

Job Details Job Location: Corporate Encinitas - Encinitas, CA 92024 Position Type: Part Time Education Level: Licensed-CNA, LVN, RN Salary Range: $44.00 - $52.00 Hourly Job Shift: AM Shift At Seacrest Village, we foster a warm, inclusive environment where both staff and residents are treated with genuine respect and care. Nestled in the heart of Encinitas, a scenic coastal town, our facility offers not only state-of-the-art care, but also tranquil surroundings that uplift the spirit Why You’ll Love Working With Us: Collaborate in an inclusive culture that values your voice Thrive in a workplace guided by compassion, respect, and integrity led by supportive leadership Grow through ongoing professional development and recognition Find purpose in work that truly makes a difference At Seacrest Village, your role goes beyond tasks, you become part of a compassionate circle of care that brings dignity, joy, and connection to every resident. Your kindness will be seen, valued, and celebrated every day. Come be part of something truly meaningful, in a place that feels like home. Qualifications Able to pass pre-employment physical/TB test Obtain fingerprint clearance as required by our licensure LVN or RN license BLS certification Review medical records to assess appropriateness, effectiveness, and timing of treatments, including prospective, concurrent, and retrospective reviews Evaluate and revise care plans to ensure optimal patient care and alignment with clinical guidelines and resources Coordinate healthcare services by collaborating with interdisciplinary teams and securing insurer authorizations Manage healthcare resources by monitoring length of stay, medications, therapies, and diagnostic tests to improve cost-effectiveness Work with insurance and billing departments for preauthorization, reimbursement, and appeals of denials Ensure compliance with regulatory standards and maintain accurate documentation of all utilization management activities Educate patients and families about care plans and healthcare options while providing emotional support and facilitating smooth admissions, discharges, and care conferences

Responsibilities

The Case Manager will review medical records, evaluate care plans, and coordinate healthcare services with interdisciplinary teams. They will also manage healthcare resources and ensure compliance with regulatory standards.