Case Management - Skilled Nursing

GOEBEL FIXTURE COMPANY; Mayfield Heights (OH); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401K with company matching

Vacation/Sick Time

Referral program

Employee discounts

Early Pay via OnShift Wallet

Longevity Program

Free Continuing Education

Job summary

Certus Healthcare Management is seeking a compassionate Case Manager to join our team in Mayfield Heights, OH. You will coordinate care for residents, develop individualized plans, and ensure services meet each resident's needs. The role supports families, coordinates with providers, and monitors progress to improve quality of life.

Typical hours are 9am–5pm, Monday–Friday, with some flexibility; salary discussed at interview. The corporate office is in Mayfield Heights, Ohio.

Qualifications

• Experience in case management, medical authorization, or healthcare billing.
• Strong Medicare, Medicaid, and Managed Care payor rules knowledge.
• Excellent communication, organization and follow-up skills.
• Ability to work independently, multi-task and meet deadlines.
• LPN/SWA or similar clinical background preferred but not required.
• Experience with EMR systems and payor authorization portals.
• Knowledge of Ohio Medicaid processes.

Responsibilities

• Develop and implement individualized care plans for residents.
• Conduct assessments to evaluate health status and service needs.
• Coordinate with providers, families and community resources.
• Provide crisis intervention when needed.
• Facilitate communication between residents, families, and staff.
• Monitor progress and adjust care plans to achieve outcomes.

Skills

Case management experience

Medicare/Medicaid knowledge

EMR systems experience

Communication skills

Organization & time management

Tools

EMR systems

Payor portals

Job description

• Location 6120 Parkland Boulevard,Mayfield Heights, OH, 44124,United States
• Job Category Case Management, Accounts Recievable, AR Specialist
• Employee Type Full Time

Contact information

Description

Company Overview

Certus Healthcare Management is dedicated to providing exceptional care through our 17 communities across Ohio and Michigan. We focus on serving diverse populations in both rural and urban settings, ensuring that our employees can engage with a variety of diagnoses through comprehensive care and rehabilitation. Our mission emphasizes family-centered care, treating every resident as part of our own family.

Summary

We are seeking a compassionate and dedicated Case Manager to join our team at Certus Healthcare Management. In this role, you will play a vital part in coordinating care for our residents, ensuring they receive personalized support tailored to their unique needs. Your contributions will directly impact the quality of life for those we serve.

This position works out of our corporate office located in Mayfield Heights, Ohio. The typical work schedule for this position is Monday through Friday from 9am to 5pm. Start and end times have some flexibility and can be discussed during interview process.

Salary will be discussed during the interview process.

Responsibilities

• Develop and implement individualized care plans for residents based on their specific needs and circumstances.
• Conduct assessments to evaluate residents' health status and needs for services.
• Coordinate with healthcare providers, families, and community resources to ensure comprehensive support.
• Provide crisis intervention and support to residents facing challenges or emergencies.
• Facilitate communication between residents, families, and staff to promote understanding and collaboration.
• Monitor progress and adjust care plans as necessary to achieve optimal outcomes.

Full Time Benefits include but are not limited to:

• Health, Dental, Vision, and Voluntary insurance available after 30 days of employment
• 401K with company matching starting after 90 days
• Vacation/Sick Time Package
• Referral programs earning up to $2000 per referral; unlimited referrals!
• Employee Discount Program
• Employee Engagement Incentives
• Company Giveaways
• Early Pay via OnShift Wallet (for hourly roles)
• Longevity Program
• Learning Management system including FREE Continuing Education for multiple certifications and licensures.
• No cost Flu and COVID-19 vaccines

Requirements

Experience working in case management, medical authorization processes, or healthcare billing.

Strong understanding of Medicare, Medicaid, and Managed Care payor rules.

Excellent communication, organization, and follow-up skills.

Ability to work independently, multi-task, and meet deadlines.

Prior experience in skilled nursing, long-term care, or hospital case managementpreferred.

Licensed Practical Nurse (LPN), Social Work Assistant (SWA), or similar clinical background preferred but notrequired.

Experience using EMR systems and payor authorization portals.

Knowledge of Ohio Medicaid processes

Summary