Case Manager- Health Center

Socket.dev; San Diego (CA); On-site; USD 52,000 - 59,000; Full time

Benefits offered by this job

No-cost medical

Dental & Vision

Bonus eligibility

DailyPay

Life insurance

403(b) match

Tuition reimbursement

PTO & holidays

Pet insurance

AFLAC

Fun work environment

Long-term disability

Job summary

Casa de las Campanas in Rancho Bernardo, CA, is seeking a Case Manager for our Health Center who coordinates resident care, discharge planning, and communication across the care team to ensure optimal health outcomes for seniors. You will join a supportive, mission-driven team in a setting that blends upscale hospitality with compassionate healthcare.

A bachelor’s in social work or related field is preferred, with 1–2 years in case management and knowledge of Medicare and skilled nursing

Qualifications

• Bachelor’s degree in social work or related field preferred.
• Current LVN, LPN, Social Worker, or related healthcare credential preferred.
• Minimum 1–2 years of experience in case management, discharge planning, or long-term care.
• Knowledge of Medicare, managed care, and skilled nursing regulations preferred.
• Strong organizational, communication, and problem-solving skills.

Responsibilities

• Coordinate and monitor resident care plans in collaboration with the interdisciplinary team.
• Facilitate communication among physicians, nursing staff, therapists, residents, and family members.
• Participate in care plan meetings and ensure resident-centered care goals are established and updated.
• Monitor resident progress and identify barriers to achieving care goals.
• Develop and implement safe and effective discharge plans.

Skills

Organizational skills

Communication skills

Problem-solving

Team collaboration

Education

Bachelor’s degree in social work or related field

Healthcare credential (LVN/LPN/Social Worker) preferred

Job description

Case Manager- Health Center

$38-$43 hourly

Who we are:

Experience the future of senior living and care as soon as you step foot into our doors. Casa de las Campanas offers upscale resort-style living in the scenic area of Rancho Bernardo. Our team of dedicated professionals strives to improve the lives of seniors in our community on a daily basis. Our campus and surroundings reflect the love that our residents have for southern California. Our unique combination of an all-inclusive lifestyle, exceptional hospitality, and stunning location is unmatched. Our well-traveled and outdoorsy senior community enjoys socializing over meals, exploring nearby trails, and taking in breathtaking views. We are currently seeking a talented Case Manager for our Health Center. If you want to experience a fresh perspective on Healthcare and Senior Living, join us today!

You will enjoy:

• $0 employee cost share for medical insurance
• Dental and Vision Insurance
• Bonus eligibility
• Now offering DailyPay!
• Life insurance
• 403 (b) retirement plan with employer match
• Tuition reimbursement program funded by our residents
• PTO and paid holidays
• Pet insurance
• AFLAC
• An exceptional work environment that is both engaging and fun!
• Long-term disability insurance

Who you are:

• Bachelor’s degree in social work, or related field preferred.
• Current LVN/LPN, Social Worker, or related healthcare credential preferred.
• Minimum 1-2 years of experience in case management, discharge planning, or long-term care.
• Knowledge of Medicare, managed care, and skilled nursing regulations preferred.
• Strong organizational, communication, and problem-solving skills.

Position Summary

The Case Manager is responsible for coordinating resident care, discharge planning, and communication among residents, families, interdisciplinary team members, payers, and community resources. The Case Manager ensures that residents receive appropriate services to achieve optimal health outcomes while supporting regulatory compliance, care transitions, and resident satisfaction.

Essential Duties and Responsibilities:

• Coordinate and monitor resident care plans in collaboration with the interdisciplinary team.
• Facilitate communication among physicians, nursing staff, therapists, residents, and family members.
• Participate in care plan meetings and ensure resident-centered care goals are established and updated.
• Monitor resident progress and identify barriers to achieving care goals.

Discharge Planning

• Develop and implement safe and effective discharge plans.
• Coordinate post-discharge services, including home health, hospice, durable medical equipment, transportation, and community resources.
• Educate residents and families regarding discharge needs and available resources.
• Ensure timely and accurate discharge documentation.

Utilization and Insurance Management

• Assist with insurance authorizations and continued stay reviews.
• Communicate with managed care organizations and third-party payers regarding resident status and coverage.
• Monitor length of stay and assist in achieving appropriate reimbursement and utilization goals.
• Track and document payer requirements and authorizations.

Regulatory Compliance

• Maintain accurate and timely documentation in accordance with facility policies and state and federal regulations.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities.
• Assist with survey preparation and compliance initiatives.
• Ensure adherence to HIPAA and confidentiality standards.

Interdisciplinary Team Collaboration

• Attend daily clinical meetings, utilization review meetings, and care conferences.
• Collaborate with rehabilitation, nursing, dietary, social services, and medical staff to optimize resident outcomes.
• Identify opportunities to improve care coordination and reduce avoidable rehospitalizations.

Physical Requirements

• Ability to sit, stand, walk, and move throughout the facility.
• Ability to communicate effectively with residents, families, staff, and external agencies.
• Ability to lift and carry up to 25 pounds occasionally.