Senior Living Case Manager – Health Center

Casa-De-Las-Campanas; San Diego (CA); On-site; USD 52,000 - 59,000; Full time

Benefits offered by this job

Medical insurance (0% employee cost)

Dental and Vision Insurance

Bonus eligibility

DailyPay

Life insurance

403(b) retirement plan with employer</

Tuition reimbursement program funded

PTO and paid holidays

Pet insurance

AFLAC

Engaging and fun work environment

Long-term disability insurance

Job summary

Casa de las Campanas in Rancho Bernardo, CA, is seeking a Case Manager for our Health Center to coordinate resident care, discharge planning, and communication among residents, families, and the interdisciplinary team to ensure optimal health outcomes.

This role requires knowledge of Medicare and managed care, strong organizational and problem-solving skills, and dedication to regulatory compliance and care transitions in a long-term care setting.

Qualifications

• Bachelor’s degree in social work or related field preferred.
• Current LVN/LPN, Social Worker, or related healthcare credential preferred.
• Minimum 1–2 years of experience in case management, discharge planning, or long-term care.
• Knowledge of Medicare, managed care, and skilled nursing regulations preferred.
• Strong organizational, communication, and problem-solving skills.

Responsibilities

• Coordinate and monitor resident care plans in collaboration with the interdisciplinary team.
• Facilitate communication among physicians, nursing staff, therapists, residents, and family members.
• Participate in care plan meetings and ensure resident-centered care goals are established and updated.
• Monitor resident progress and identify barriers to achieving care goals.
• Develop and implement safe and effective discharge plans.
• Coordinate post-discharge services, including home health, hospice, durable medical equipment, transportation, and community resources.
• Educate residents and families regarding discharge needs and available resources.
• Ensure timely and accurate discharge documentation.
• Assist with insurance authorizations and continued stay reviews.
• Communicate with managed care organizations and third-party payers regarding resident status and coverage.
• Monitor length of stay and assist in achieving appropriate reimbursement and utilization goals.
• Track and document payer requirements and authorizations.
• Maintain accurate and timely documentation in accordance with facility policies and state and federal regulations.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities.
• Assist with survey preparation and compliance initiatives.
• Ensure adherence to HIPAA and confidentiality standards.
• Attend daily clinical meetings, utilization review meetings, and care conferences.
• Collaborate with rehabilitation, nursing, dietary, social services, and medical staff to optimize resident outcomes.
• Identify opportunities to improve care coordination and reduce avoidable rehospitalizations.

Skills

Strong organizational skills

Communication

Problem-solving

Team collaboration

Education

Bachelor’s degree in social work or related field

Healthcare credential (LVN/LPN/Social Worker) preferred

Job description

Casa de las Campanas in Rancho Bernardo, CA, is seeking a Case Manager for our Health Center to coordinate resident care, discharge planning, and communication among residents, families, and the interdisciplinary team to ensure optimal health outcomes.

This role requires knowledge of Medicare and managed care, strong organizational and problem-solving skills, and dedication to regulatory compliance and care transitions in a long-term care setting.