Case Manager - LPN

Apache Junction Health Center in; Apache Junction (AZ); On-site; USD 85,000 - 120,000; Full time

Job summary

PACS is seeking a qualified nurse/case manager to provide comprehensive care planning for residents in our Arizona facility. You will conduct clinical assessments, coordinate services with care providers, payers, and families, and ensure cost-effective, high-quality care while maintaining compliance.

The role requires RN or LPN/LVN with 2+ years of clinical nursing experience and knowledge of Medicare/Medicaid programs. Strong communication, documentation, and independent judgment are essential.

Qualifications

• Bachelor’s degree in Nursing or Social Work required.
• RN license preferred; LVN/LPN acceptable.
• Two years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi-Cal and Medicaid benefits.
• CCM certification a plus. Must maintain education/licensing.

Responsibilities

• Communicate Plans of Care with residents, families and team.
• Attend morning stand-ups to facilitate communication with the team.
• Answer questions about care plans, treatment, and progress.
• Conduct utilization reviews for cost-effective care.
• Coordinate admissions, discharges and referrals with providers and payers.
• Accurate charting and timely paperwork; maintain professional interactions.
• Work independently with sound judgment in complex situations.

Skills

Interpersonal communication

Time management

Independent work

Clinical assessment

Education

Bachelor’s Degree in Nursing or Social Work

Tools

PCC Knowledge

Job description

General Purpose

Utilize clinical expertise and critical thinking skills 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 Responsibilities

Communicate regularly with residents and their family about Plans of Care, PT, OT and other treatment protocols. Attends and participates in morning meetings/stand up to facilitate communications with the team. Answer residents’ questions about their care, treatment plans, illness progression and all other issues so 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 the area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost-effective care. Coordinate care with resident, care providers, facilities financial services, and third-party payers. Oversee all admissions and discharge activities. Coordinate referrals both to and from our facility. Ability to relate positively, effectively, and appropriately with residents, families, staff and professionals colleagues. Accurate charting and ability to complete necessary paperwork in a timely manner. Ability to work independently and exercise sound judgement in interactions with physicians, providers, payers and residents and their families. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners. Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities. Intermediate computer skills. Competence in maintaining professional, respectful, honest interactions with residents/families and staff and partners. Perform clinical assessments, care planning, and direct coordination of medical services when required by the role.

Supervisory Requirements

This position has no supervisory responsibilities.

Qualification

Education and/or Experience Bachelor’s Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed (LVN or LPN) nurse acceptable. Two (2) years of clinical nursing experience preferred. Knowledge of Medicare, Medi-cal and Medicaid programs and benefits. PCC Knowledge preferred. Certificate as a certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must remain in good standing with the Department of Public Health, License and Certification Division at all times.

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

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