Clinical Care Coordinator & Case Manager

PACS Group; Roseville (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

PACS Group seeks a qualified professional to provide case management and clinical nursing support in a post-acute setting. You will develop care plans, coordinate with residents, families, and providers, and ensure cost-effective, high-quality care.

Strong communication, documentation, and teamwork are essential. The role requires clinical nursing experience, familiarity with Medicare/Medicaid, and licensure in nursing (RN preferred, LVN/LPN acceptable).

Qualifications

• 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.

Responsibilities

• Communicate regularly with residents and their family about Plans of Care and treatment protocols.
• Attend morning meetings/stand up to facilitate communications with the team.
• Answer residents’ questions about their care and treatment plans.
• Monitor and adjust residents’ statuses based on changing needs.
• Organize and prioritize daily work by assessing residents’ needs.
• Complete documentation as required.
• Perform utilization review activities for cost-effective care.
• Coordinate care with residents, providers, facilities, and payers.
• Oversee admissions and discharge activities.
• Coordinate referrals to and from the facility.
• Relate positively with residents, families, staff and professionals.

Skills

Communication with residents/families

Documentation

Time management

Independent work

Interprofessional collaboration

Computer skills

Professional interactions

Education

Bachelor’s Degree in Nursing or Social Work

RN license preferred

LVN or LPN acceptable

2 years clinical nursing experience preferred

Medicare/Medicaid knowledge

PCC knowledge preferred

CCM certification a plus

Continuing education/licensing

Good standing with Dept of Public Health

Job description

PACS Group seeks a qualified professional to provide case management and clinical nursing support in a post-acute setting. You will develop care plans, coordinate with residents, families, and providers, and ensure cost-effective, high-quality care.

Strong communication, documentation, and teamwork are essential. The role requires clinical nursing experience, familiarity with Medicare/Medicaid, and licensure in nursing (RN preferred, LVN/LPN acceptable).