Regional Case Manager

Hill Valley Healthcare; Portland (OR); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Competitive compensation

Medical, Dental & Vision insurance

401(k) retirement plan

Paid time off (PTO)

Mileage reimbursement

Job summary

Hill Valley Healthcare seeks a Regional Case Manager for the West Coast (OR/WA) region to support multiple skilled nursing facilities with admissions, care coordination, and discharge planning. You will collaborate with hospitals, payers, and interdisciplinary teams to optimize transitions and reimbursement across several sites.

The role requires 3+ years in post-acute care or related fields, an active RN/LPN/LSW/PT/OT/ST license, and travel up to 50%.

Qualifications

• Current RN, LPN, LSW, PT, OT, or ST license preferred.
• MDS certification and/or post-acute case management experience strongly preferred.
• Minimum of 3 years of experience in skilled nursing, post-acute care, hospital discharge planning, care coordination, or case management.
• Strong understanding of Medicare & Medicaid, Managed Care, Insurance Authorizations, Care Transitions, Discharge Planning, Skilled Nursing Operations, Clinical Documentation.
• Exceptional communication, relationship-building, and organizational skills.
• Proficiency with electronic medical records (EMR) and Microsoft Office.
• Willingness to travel up to 50% throughout the Midwest Region.

Responsibilities

• Provide regional case management support for multiple skilled nursing facilities throughout the West Coast Region.
• Coordinate admissions, transfers, and discharges with interdisciplinary teams to ensure seamless transitions of care.
• Review clinical referrals to ensure appropriate placement and alignment with facility capabilities.
• Assist facilities with payer communications, authorization processes, and insurance requirements.
• Monitor Medicare, Medicaid, and managed care trends to improve reimbursement and operational performance.
• Develop and maintain strong relationships with hospital partners, referral sources, and community providers.

Skills

Clinical knowledge

Interdisciplinary collaboration

Communication skills

EMR proficiency

Travel readiness

Education

RN/LPN/LSW/PT/OT/ST license

MDS certification or post-acute case management experience

Tools

EMR systems

Microsoft Office

Job description

Now Hiring: Regional Case Manager – West Coast (OR/WA) Region

Location: West Coast Region (OR/WA) (Regional Travel Required)
Job Type: Full-Time

Help Shape Exceptional Resident Outcomes Across the West Coast (OR/WA)

Are you passionate about improving patient outcomes, streamlining transitions of care, and supporting skilled nursing facilities through clinical expertise and collaboration? We are seeking an experienced Regional Case Manager to support multiple skilled nursing facilities throughout the West Coast (OR/WA) Region.

In this dynamic regional role, you'll partner with facility leadership, hospital systems, managed care organizations, and interdisciplinary teams to ensure seamless care transitions, optimize reimbursement, strengthen referral relationships, and improve clinical outcomes across multiple locations.

If you thrive in a collaborative, fast-paced environment and enjoy making a meaningful impact across multiple facilities, we encourage you to apply.

Position Summary

The Regional Case Manager serves as a clinical resource for assigned skilled nursing facilities by providing guidance on admissions, care coordination, managed care processes, discharge planning, and census development. This role works closely with facility leadership to improve operational performance while ensuring residents receive the highest quality of care.

Key Responsibilities

Care Coordination & Case Management

• Provide regional case management support for multiple skilled nursing facilities throughout the Midwest Region.

• Collaborate with interdisciplinary teams to coordinate admissions, transfers, and discharges while ensuring seamless transitions of care.

• Review clinical referrals to ensure appropriate placement and alignment with facility capabilities.

• Support facilities in reducing avoidable hospital readmissions and improving resident outcomes.

• Assist with complex discharge planning and care coordination initiatives.

Managed Care & Clinical Review

• Partner with hospitals, physicians, managed care organizations, and insurance providers to facilitate timely admissions and authorizations.

• Review clinical documentation to support medical necessity and reimbursement.

• Assist facilities with payer communications, authorization processes, and insurance requirements.

• Monitor Medicare, Medicaid, and managed care trends while identifying opportunities to improve reimbursement and operational performance.

Regional Operations Support

• Develop and maintain strong relationships with hospital partners, referral sources, and community healthcare providers.

• Support census growth initiatives by improving referral conversion and admission processes.

• Assist facility leadership with case management best practices and regulatory compliance.

• Travel throughout the Midwest Region to provide onsite support, education, and operational guidance.

• Collaborate with regional leadership on strategic initiatives designed to improve quality outcomes and operational success.

Qualifications

• Current RN, LPN, LSW, PT, OT, or ST license preferred.

• MDS certification and/or post-acute case management experience strongly preferred.

• Minimum of 3 years of experience in skilled nursing, post-acute care, hospital discharge planning, care coordination, or case management.

• Strong understanding of:

  • Medicare & Medicaid

  • Managed Care

  • Insurance Authorizations

  • Care Transitions

  • Discharge Planning

  • Skilled Nursing Operations

  • Clinical Documentation

• Exceptional communication, relationship-building, and organizational skills.

• Ability to analyze clinical information and make sound recommendations.

• Proficiency with electronic medical records (EMR) and Microsoft Office.

• Willingness to travel up to 50% throughout the Midwest Region.

Why Join Our Team?

You'll become part of a collaborative organization dedicated to improving resident care while supporting our skilled nursing communities through innovation, clinical excellence, and teamwork.

We Offer

• Competitive Compensation

• Comprehensive Medical, Dental & Vision Insurance

• 401(k) Retirement Plan

• Generous Paid Time Off (PTO)

• Daily Pay Program

• Life & Disability Insurance

• Employee Wellness Program

• Mileage Reimbursement for Regional Travel

• Professional Development & Continuing Education

• Leadership Development Opportunities

• Comprehensive Onboarding Program

• Supportive Regional Leadership Team

Make a Regional Impact

This position offers the opportunity to improve patient outcomes, strengthen hospital partnerships, enhance care coordination, and support operational excellence across multiple skilled nursing facilities throughout the Midwest.

If you're passionate about post-acute care, case management, and making a meaningful difference, we'd love to hear from you.

Salary/Wage Information

Compensation is based on experience, qualifications, skills, education, and overall background and may vary outside of the posted range.

Equal Opportunity Employer

We are committed to maintaining a diverse and inclusive workplace. We are an Equal Opportunity Employer and do not discriminate in recruiting, hiring, or promotion based on race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law. We proudly support veterans, active-duty military personnel, reservists, National Guard members, and military spouses and encourage all qualified candidates to apply.