Case Manager LVN

Novato Healthcare Center; Novato (CA); On-site; USD 65,000 - 85,000; Full time

Job summary

Novato Healthcare Center is seeking a Case Manager to coordinate patient care and ensure outcomes, cost controls, and clear communication with payors and the center. The role includes on-site pre-admission assessments and maintaining continuity of care in line with federal, state, and company requirements.

In addition to clinical responsibilities, the position supports center goals, determines resource utilization, and participates in coverage negotiations as needed.

Qualifications

• Current licensure in the state of practice.
• Strong administrative and organizational skills required.
• Minimum 2 years of case management experience.
• Bachelor's degree in healthcare preferred.

Responsibilities

• Coordinate patient care to meet patient, payor, and center needs.
• Conduct on-site pre-admission assessments for appropriate admissions.
• Ensure continuity of care per requirements.
• Support the center and company goals.
• Determine resource utilization for patient care needs and payor requirements.
• Participate in coverage negotiations as assigned.
• Ensure exchange of essential information (payor feedback, outcomes, therapy utilization).
• Attend required in-services and meetings.
• Maintain documentation for quality case management per regulations.
• Presents professional image and adheres to standards in resolving consumer concerns.
• Ensure patient rights are protected.

Skills

Administrative skills

Organizational skills

Case management experience

Education

Bachelor's degree in healthcare

Job description

Case Manager Principal Responsibilities: CLINICAL

• Case Manager coordinates patient care specific to meet patient, payor and Center needs for patient outcome, cost and communication.
• Conducts pre-admission on-site assessments to ensure clinically appropriate admissions in accordance with Federal, State and Company requirements.
• Ensures continuity of care appropriate to meet patient, payor and Company requirements.

Case Manager ADMINISTRATIVE

• Supports the overall goals of the Company and the Center.
• Determines resource utilization specific to patient care needs, outcome expectations, payor and Company requirements.
• Participates in negotiating coverage as assigned.
• Ensures exchange of essential information, i.e., payor feedback, clinical outcomes, therapy utilization for the provision of quality patient service.
• Attends all Center or Company required inservices and meetings.
• Ensures all documentation necessary for quality case management is maintained according to Federal, State and Company requirements.

Case Manager QUALIFICATIONS

• Current licensure in State in which practicing.
• Strong administrative and organizational skills.
• Minimum 2 years experience in case management.
• Bachelors degree in health care field preferred.

Case Manager CONSUMER SERVICE

• Presents professional image to consumers through dress, behavior and speech.
• Adheres to Company standards for resolving consumer concerns.
• Ensures that all patient/resident rights are protected.