LTC Case Manager (RN/LPN/OT) — Medicare & Discharge Expert

Wingate Living; Kingston (MA); On-site; USD 62,000 - 69,000; Full time

Job summary

Wingate at Silver Lake SNF in Massachusetts is seeking a Licensed Nurse or Licensed Social Worker (preferred) for a full-time position. The role involves care coordination, post-admission authorizations, and liaison work with physicians, hospitals, and insurance case managers.

Competitive hourly rate reflects experience in long-term care. Join a family-owned company with a strong commitment to exceptional care, a supportive IDT, and opportunities to impact resident well-being across a premier

Qualifications

• Three years clinical case management experience with at least one in long term care required.
• Advanced communication, problem solving and interpersonal skills.
• Knowledge of Medicare and Medicaid regulations in long term care required.
• Licensed Nurse or Licensed Social Worker preferred

Responsibilities

• Obtain post admission authorizations
• Act as the liaison between physicians, hospitals and Insurance Case Managers
• Assist in the development of Care Plans for medically complex residents
• Manage and coordinate caseload upon admission, throughout stay/discharge
• Timely communication with updating external physicians/Case Mng
• Communicate patient care needs with the IDT
• Support patients and their families
• Attend weekly Medicare Meetings
• Evaluate for denials and assist with appeals
• Coordinate discharges including transport, meds, and referrals for home care
• Follow up with patient and/or family post discharge
• Other duties as assigned

Skills

Case management

Medicare/Medicaid

Communication

Interpersonal skills

Long term care

Job description

Wingate at Silver Lake SNF in Massachusetts is seeking a Licensed Nurse or Licensed Social Worker (preferred) for a full-time position. The role involves care coordination, post-admission authorizations, and liaison work with physicians, hospitals, and insurance case managers.

Competitive hourly rate reflects experience in long-term care. Join a family-owned company with a strong commitment to exceptional care, a supportive IDT, and opportunities to impact resident well-being across a premier