Impactful LVN Case Manager in Skilled Nursing

Merced Nursing & Rehabilitation Center; Merced (CA); On-site; USD 100,289,000 - 108,886,000; Full time

Job summary

Merced Nursing & Rehabilitation Center in Merced is seeking a Case Manager LVN to coordinate services for managed care and Medicare residents across two facilities. You will collaborate with the Administrator, Director of Marketing, and other staff to ensure compliant, cost-effective care and patient advocacy.

Responsibilities include managing insurance cases from admission to discharge, communicating with payers, documenting interactions, and coordinating with interdisciplinary teams.

Qualifications

• Completion of nursing training from accredited school or college.
• Valid nursing license in good standing and CPR/BLS certification.
• Minimum 1 year case management experience in skilled nursing facility preferred, 5+ years as a licensed nurse.

Responsibilities

• Managing all types of insurance cases from admission through discharge.
• Following up with residents’ post-discharge follow up.
• Communicating status and changes in care plan to payer.
• Documenting all payer interactions regarding resident progress and expected outcomes.
• Maximizing benefits by coordination of cost effective care.
• Meeting with facility interdisciplinary team to coordinate services and ensure total regimen of resident care.
• Daily review of medical records to confirm compliance with medical necessity.

Skills

Excellent verbal and written skills

Point Click Care knowledge

1 year case management experience

5+ years as licensed nurse

Education

Nursing degree/diploma

Valid nursing license in good standing

CPR and BLS certification

Job description

Merced Nursing & Rehabilitation Center in Merced is seeking a Case Manager LVN to coordinate services for managed care and Medicare residents across two facilities. You will collaborate with the Administrator, Director of Marketing, and other staff to ensure compliant, cost-effective care and patient advocacy.

Responsibilities include managing insurance cases from admission to discharge, communicating with payers, documenting interactions, and coordinating with interdisciplinary teams.