Case Manager - LVN (I)

Pacific Coast Post Acute in; Salinas (CA); On-site; USD 90,000 - 110,000; Full time

Job summary

Pacific Coast Post Acute in Salinas, CA is seeking a skilled Case Manager (RN preferred) to develop and implement patient care plans. You will work with residents, families, physicians, insurers and social services to deliver extraordinary care while managing costs and resources.

Responsibilities include coordinating admissions and discharges, reviewing plans of care, performing clinical assessments, ensuring timely documentation, and communicating plans to the care team at daily standups.

Qualifications

• Bachelor's degree in Nursing or Social Work is required.
• RN license preferred; LVN/LPN acceptable.
• Two years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi-Cal and Medicaid programs and benefits.
• PCC knowledge preferred.
• Certificate as CCM a plus.
• Must maintain continuing education/licensing.
• Must remain in good standing with the Department of Public Health.

Responsibilities

• Develop and implement a plan of care with residents, families and the care team.
• Communicate regularly with residents and families about plans of care and treatments.
• Attend morning stand-up meetings to coordinate with the team.
• Coordinate admissions and discharges; manage referrals.
• Perform clinical assessments and direct coordination of medical services.
• Complete documentation in a timely manner.
• Coordinate care with providers, facilities, and third-party payers.
• Maintain professional interactions with residents, families, staff and partners.

Skills

Communication with residents andfamil-

Education

Bachelor's degree in Nursing or Social Work

RN license preferred

LVN/LPN acceptable

Job description

• 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.
• 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.
• 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.

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.