Case Manager

Legacy Healthcare LLC; Des Moines (IA); Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player in skilled nursing is seeking a dedicated Case Manager to join their supportive team. This role offers a rewarding opportunity to enhance your career while ensuring residents receive the highest standard of care. As a Case Manager, you will verify managed care benefits, obtain authorizations, and work closely with interdisciplinary teams. The company values internal growth and offers competitive wages, comprehensive benefits, and tuition reimbursement. If you're passionate about making a difference in the lives of residents and thrive in a collaborative environment, this position is perfect for you.

Benefits

Competitive wages

Tuition reimbursement

Internal growth opportunities

Comprehensive benefits package

401K with employer match

Employee concierge program

Qualifications

• Minimum 2 years of experience in a Skilled Nursing Facility.
• Prior experience in Case Management or Clinical Services preferred.

Responsibilities

• Verify insurance benefits and manage concurrent insurance reviews.
• Collaborate with facility teams for discharge planning.

Skills

Case Management

Communication

Insurance Verification

Discharge Planning

Education

Associate Degree

Tools

Point Click Care

Microsoft Excel

Job description

Remote within State of Iowa, fulltime

Are you looking for a rewarding career in Skilled Nursing? Legacy Iowa is currently searching for a Case Manager to join our friendly, caring and supportive team!

We are looking to invest in a Case Manager by providing opportunities to further your career and with the tools and encouragement you need to succeed. We offer great benefits including:

• Competitive wages.
• Tuition reimbursement.
• Internal growth opportunities.
• Comprehensive benefits package.
• 401K with employer match.
• Employee concierge program.
• And more!

As a Case Manager you will be responsible for verifying managed care benefits, obtaining authorizations and managing concurrent insurance reviews. You will work closely with the facility IDT teams and maintain member caseloads. The Case Manager collaborates with the Social Services Director at each facility with regards to discharge planning. Your work will ensure our residents receive the high standard of care they have grown to expect at our facility.

To be eligible for consideration applicants should have:

As a minimum, an Associate Degree and two (2) years of experience in a Skilled Nursing Facility required. Prior experience in Case Management, Admissions, Clinical Services or Social Services preferred. Point Click Care experience a plus.

Job Responsibilities:

• Verify Insurance benefits and confirm network status.
• Communicate benefits to internal teams.
• Initiate Authorization and follow-up on pending authorization.
• Upload Managed Care documentation to Electronic Medical Record System.
• Submit concurrent review to Managed Care companies.
• Request/Upload discharge documentation to Managed Care companies.
• Submit Vent notifications to the State for Medicaid payment.
• Communicate with the billing team on any Managed Care billing issues.
• Knowledge of Point Click Care and Microsoft Excel.

Legacy Iowa is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.