Resident Care Case Manager: Clinical Coordination

Apache Junction Health Center in; Apache Junction (AZ); On-site; USD 85,000 - 120,000; Full time

Job summary

PACS is seeking a qualified nurse/case manager to provide comprehensive care planning for residents in our Arizona facility. You will conduct clinical assessments, coordinate services with care providers, payers, and families, and ensure cost-effective, high-quality care while maintaining compliance.

The role requires RN or LPN/LVN with 2+ years of clinical nursing experience and knowledge of Medicare/Medicaid programs. Strong communication, documentation, and independent judgment are essential.

Qualifications

• Bachelor’s degree in Nursing or Social Work required.
• RN license preferred; LVN/LPN acceptable.
• Two years of clinical nursing experience preferred.
• Knowledge of Medicare, Medi-Cal and Medicaid benefits.
• CCM certification a plus. Must maintain education/licensing.

Responsibilities

• Communicate Plans of Care with residents, families and team.
• Attend morning stand-ups to facilitate communication with the team.
• Answer questions about care plans, treatment, and progress.
• Conduct utilization reviews for cost-effective care.
• Coordinate admissions, discharges and referrals with providers and payers.
• Accurate charting and timely paperwork; maintain professional interactions.
• Work independently with sound judgment in complex situations.

Skills

Interpersonal communication

Time management

Independent work

Clinical assessment

Education

Bachelor’s Degree in Nursing or Social Work

Tools

PCC Knowledge

Job description

PACS is seeking a qualified nurse/case manager to provide comprehensive care planning for residents in our Arizona facility. You will conduct clinical assessments, coordinate services with care providers, payers, and families, and ensure cost-effective, high-quality care while maintaining compliance.

The role requires RN or LPN/LVN with 2+ years of clinical nursing experience and knowledge of Medicare/Medicaid programs. Strong communication, documentation, and independent judgment are essential.