Case Manager

Mountain-View-Healthcare-Center; Mountain View (CA); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Competitive pay

Health benefits

401(k) plan

Life and disability insurance

Paid time off

Employee assistance program

Tuition assistance

Job summary

Mountain-View-Healthcare-Center is seeking a licensed nurse (LVN/RN) to coordinate rehabilitation services and advocate for patients. The role involves admissions, care coordination, and payer communications within a hospital-like setting.

Responsibilities include documenting payer interactions, coordinating with the interdisciplinary team, and ensuring accurate census and payments for managed care and Medicare residents. Full-time position with comprehensive benefits.

Qualifications

• Current California LVN or RN license in good standing.
• Minimum 3 years experience in a hospital, nursing, or other related health care facility.
• Working knowledge of managed care rules, regulations, and guidelines.
• Outstanding communication (oral and written) skills.

Responsibilities

• Greet new patients/residents ensuing a positive admission experience.
• Evaluate and communicate resident status, changes in functions and care plans to payers.
• Document all payer interactions regarding resident progress, expected outcomes and special instructions.
• Meet with interdisciplinary team to coordinate services ensuring resident's total regimen of care is maintained.
• Coordinate and communicate with business office and medical records to ensure accurate census and payment of managed care and Medicare residents.

Skills

Communication skills

Multi-tasking

Team collaboration

Documentation

Education

California LVN or RN license

Job description

Coordinates the delivery of rehabilitation services to patients in collaboration with the facility staff. Continually monitors and documents the cost effectiveness of treatments provided, facilitating admission and discharge processes, serving as patient advocate and liaison to insurance carriers and other medical management professionals.

Qualifications

• Current California LVN or RN license in good standing
• Minimum 3 years experience in a hospital, nursing, or other related health care facility
• Working knowledge of managed care rules, regulations, and guidelines
• Outstanding communication (oral and written) skills
• Ability to multi-task and treat everyone at work kindly and professionally
• Works collaboratively and independently, following procedures and guidelines
• Completes tasks on time, reporting on successes, challenges and offering solutions
• Emotional maturity - ability to remain calm and professional under stress

Responsibilities

• Greet new patients/residents ensuing a positive admission experience
• Evaluate and communicate resident status, changes in functions and care plans to payers
• Document all payer interactions regarding resident progress, expected outcomes and special instructions
• Meet with interdisciplinary team to coordinate services ensuring resident's total regimen of care is maintained
• Coordinate and communicate with business office and medical records to ensure accurate census and payment of managed care and Medicare residents
• Competitive pay
• Health Benefits - Medical, dental, and vision coverages with company paying a substantial portion of costs (voluntary supplemental plan options available)
• 401(k) with discretionary company match annually
• Company paid Basic Life and disability insurance (Buy up options available)
• Paid Time Off (Vacation, Sick, Holiday)
• Employee Assistance program
• Tuition Assistance and Profession Enhancement Funds
• Bene-Hub employee sponsored discount programs and more….

We are proud to be an equal opportunity employer.

*Benefits available to full-time employees.

2530 Solace Pl, Mountain View, CA 94040, USA