Case Manager — Clinical Care Coordinator

PACS; Grand View (AZ); On-site; USD 65,000 - 90,000; Full time

Job summary

PACS in Arizona is seeking a qualified RN or social work professional to lead case management and coordinate care for residents. You will assess needs, develop plans, and collaborate with families, physicians, and payers to ensure high-quality, cost-effective care.

The role emphasizes documentation, adherence to Medicare/Medicaid guidelines, and timely admissions and discharges while maintaining professional communications in a busy facility.

Qualifications

• Bachelor’s Degree in Nursing or Social Work required or preferred.
• Two (2) years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi-Cal and Medicaid programs and benefits.
• PCC knowledge preferred.
• Certificate as a CCM a plus.
• Must maintain all required continuing education/licensing.
• Must remain in good standing with relevant health departments.

Responsibilities

• Communicate regularly with residents and their family about Plans of Care and treatment protocols.
• Attend and participate in morning meetings to facilitate team communications.
• Answer residents’ questions about care, treatment plans, and illness progression.
• Monitor and adjust residents’ statuses based on changing needs.
• Organize and prioritize daily work by assessing residents’ needs in the area of responsibility.
• Complete documentation as required.
• Perform utilization review activities to ensure cost-effective care.
• Coordinate care with residents, care providers, facilities, and third-party payers.
• Oversee admissions and discharge activities.
• Coordinate referrals to and from the facility.
• Maintain professional interactions with residents, families, staff and partners.
• Accurate charting and timely paperwork.

Skills

Clinical nursing experience

Case management knowledge

Medicare/Medicaid knowledge

PCC knowledge

Education

Bachelor’s Degree in Nursing or Social Work

RN license preferred; LVN/LPN acceptable

Job description

PACS in Arizona is seeking a qualified RN or social work professional to lead case management and coordinate care for residents. You will assess needs, develop plans, and collaborate with families, physicians, and payers to ensure high-quality, cost-effective care.

The role emphasizes documentation, adherence to Medicare/Medicaid guidelines, and timely admissions and discharges while maintaining professional communications in a busy facility.