Resident Care Case Manager (LVN)

Villa Las Palmas Healthcare; El Cajon (CA); On-site; USD 85,000 - 100,000; Full time

Job summary

Villa Las Palmas Healthcare in El Cajon, CA seeks a dedicated nursing care coordinator to collaborate with residents, families and care teams to develop and implement care plans.

The role emphasizes cost-conscious, high-quality care, documentation, utilization review, admissions/discharges, and coordinating with physicians, payers, and staff; requires RN or LVN/LPN with 2 years nursing experience; Medicare/Medicaid knowledge preferred.

Qualifications

• Bachelor's Degree in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed LVN or LPN nurse acceptable.
• Two 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

• Utilize clinical expertise to develop and implement a plan of care with residents, families, and care teams.
• Communicate regularly with residents and family about Plans of Care, PT, OT and other treatment protocols.
• Attend and participate in morning meetings/stand up to facilitate communications with the team.
• Answer residents' questions about their care, treatment plans, illness progression and all other issues.
• Monitor and adjust residents' statuses based on changing needs and conditions.
• Organize and prioritize daily work by assessing residents' needs in responsibility areas.
• Complete documentation as required.
• Performs utilization review activities to provide resident appropriate, timely and cost-effective care.
• Coordinate care with resident, care providers, facilities financial services, and third-party payers.
• Oversee all admissions and discharge activities.
• Coordinate referrals both to and from our facility.
• Relate positively with residents, families, staff and professionals.

Skills

Clinical nursing

Communication

Documentation

Time management

Team interaction

Critical thinking

Care planning

Medicare knowledge

Education

Bachelor's Degree in Nursing or Social Work

RN license preferred

LVN/LPN acceptable

Two years of clinical nursing experience

Medicare/Medicaid knowledge

PCC Knowledge preferred

CCM certificate a plus

Continuing education/licensing

Department of Public Health licensing status

Tools

PCC system

Job description

Villa Las Palmas Healthcare in El Cajon, CA seeks a dedicated nursing care coordinator to collaborate with residents, families and care teams to develop and implement care plans.

The role emphasizes cost-conscious, high-quality care, documentation, utilization review, admissions/discharges, and coordinating with physicians, payers, and staff; requires RN or LVN/LPN with 2 years nursing experience; Medicare/Medicaid knowledge preferred.