West Coast Regional Case Manager — Care Transitions Leader

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

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%.