Resident Care Navigator & Case Manager

Villa Las Palmas Healthcare Center in; El Cajon (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

PACS is seeking a qualified Case Manager to collaborate with residents, families, and care providers to develop and implement individualized plans of care in a post-acute setting. The role emphasizes cost-conscious, high-quality care and requires strong communication and organization skills.

Responsibilities include coordinating admissions and discharges, documentation, utilization reviews, and cross-functional communication with physicians, payers, and staff to ensure resident-centered care.

Qualifications

• Bachelor’s degree in Social Work or related field preferred.
• Prior healthcare/case management experience preferred.
• Knowledge of Medicare, Medi-Cal, and Medicaid programs.
• Familiarity with PCC or other EMR systems preferred.
• Strong communication and organization skills.

Responsibilities

• Communicate regularly with residents and families about Plans of Care and treatment protocols.
• Attend and participate in morning meetings to facilitate communication with the team.
• Coordinate admissions and discharge activities.
• Perform utilization review to ensure cost-effective care.
• Coordinate referrals to and from the facility and with payers.
• Maintain accurate charting and timely documentation.
• Work independently with physicians, payers, residents, and families.

Skills

Healthcare experience

Case management

Communication skills

Policy comprehension

PCC (PointClickCare)

Education

Bachelor's Degree in Social Work

Tools

PCC (PointClickCare)

Job description

PACS is seeking a qualified Case Manager to collaborate with residents, families, and care providers to develop and implement individualized plans of care in a post-acute setting. The role emphasizes cost-conscious, high-quality care and requires strong communication and organization skills.

Responsibilities include coordinating admissions and discharges, documentation, utilization reviews, and cross-functional communication with physicians, payers, and staff to ensure resident-centered care.