Case Manager

PACS Group; United States; On-site; USD 60,000 - 85,000; Full time

Job summary

PACS Group is seeking a dedicated care coordinator to work with residents, families, and healthcare providers to develop and implement comprehensive plans of care. You will collaborate with insurance payers and care teams to deliver extraordinary, cost-conscious care across our post-acute network.

Ideal candidates have a Bachelor’s degree in Social Work or related field, healthcare case management experience, and familiarity with PCC or other EMR systems.

Qualifications

• Bachelor’s degree in Social Work, Human Services, Nursing, or related field preferred (non-licensed candidates accepted).
• Experience in healthcare, case management, or social services strongly preferred.
• Knowledge of Medicare, Medi-Cal, and Medicaid programs and benefits.
• Familiarity with PCC (PointClickCare) or other electronic medical record systems preferred.
• Strong communication skills with the ability to read and comprehend policy and procedure manuals, and effectively present information to residents, families, and staff.
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a fast-paced environment.
• Compassionate, professional demeanor with commitment to resident-centered care.

Responsibilities

• Communicate regularly with residents and families about Plans of Care and treatment protocols.
• Attend and participate in morning meetings to facilitate team communication.
• Answer residents’ questions about care and illness progression.
• Monitor and adjust residents’ statuses based on changing needs.
• Organize daily work by assessing residents’ needs in areas of responsibility.
• Complete documentation as required.
• Coordinate care with residents, care providers, facility financial services, and third‑party payers.
• Oversee admissions and discharge activities.
• Coordinate referrals to and from the facility.
• Maintain professional, respectful interactions with residents, families, staff and partners.

Skills

Communication

Organization

Time management

Compassionate demeanor

Education

Bachelor’s degree in Social Work or related field

CCM certification a plus

Tools

PCC/EMR systems

Job description

General Purpose

Utilize critical thinking skills and care coordination expertise to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources, and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources.

Essential Duties

• Communicate regularly with residents and their families about Plans of Care, PT, OT, and other treatment protocols.
• Attend and participate in morning meetings/stand-ups to facilitate communication with the team.
• Answer residents’ questions about their care, treatment plans, illness progression, and other issues to ensure they feel safe and secure in our care.
• Monitor and adjust residents’ statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing new, current, and discharging residents’ needs in areas of responsibility.
• Complete documentation as required.
• Perform utilization review activities to provide residents with appropriate, timely, and cost-effective care.
• Coordinate care with residents, care providers, facility financial services, and third‑party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from the facility.
• Relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues.
• Ensure accurate charting and timely completion of necessary paperwork.
• Work independently and exercise sound judgment in interactions with physicians, providers, payers, residents, and families.
• Communicate effectively and promote cooperation and collaboration among residents/families/caretakers, physicians, nurses, and other ancillary partners.
• Demonstrate excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
• Utilize intermediate computer skills.
• Maintain professional, respectful, and honest interactions with residents, families, staff, and partners.

Supervisory Requirements

This position has no supervisory responsibilities.

Qualification

• Bachelor’s Degree in Social Work, Human Services, Nursing, or related field preferred (non-licensed candidates accepted).
• Prior experience in healthcare, case management, or social services strongly preferred.
• Knowledge of Medicare, Medi-Cal, and Medicaid programs and benefits.
• Familiarity with PCC (PointClickCare) or other electronic medical record systems preferred.
• Certificate as a Certified Case Manager (CCM) a plus.
• Strong communication skills with the ability to read and comprehend policy and procedure manuals, and effectively present information to residents, families, and staff.
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a fast-paced environment.
• Compassionate, professional demeanor with commitment to resident-centered care.

Language Skills

• Ability to read technical procedures.
• Ability to read and comprehend policy and procedure manuals.
• Ability to effectively present information and respond to questions from managers and employees.

Mathematical Skills

• Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.

Reasoning Ability

• Ability to solve practical problems.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Physical Demands

• Primarily sedentary with frequent sitting, computer use, and documentation.
• Regular walking throughout the facility to meet with residents, families, and staff.
• Occasional standing during meetings and care conferences.
• Ability to lift and carry up to 20 pounds (files, binders, supplies).
• Clear verbal communication and vision required for chart review and resident interaction.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Equal Opportunity

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic.

Employment decisions are based on qualifications, merit, and business needs.

About PACS

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees.