Case Manager, HealthCare Industry

Position Summary

We are seeking a dedicated and skilled professional to join our team in providing exceptional care. This role requires utilizing clinical expertise and critical thinking to collaborate with residents, their families, healthcare providers, insurers, and community resources. The goal is to develop and implement personalized care plans that deliver extraordinary patient care while maintaining a focus on cost efficiency and resource management.

Key Responsibilities & Skills

• Technical Expertise: Ability to comprehend technical procedures, policy manuals, and solve practical problems effectively.
• Clear Communication: Confidently present information and respond to queries from managers and team members.
• Analytical Skills: Apply mathematical concepts such as fractions, percentages, and ratios to real-world situations.
• Adaptability: Interpret diverse instructions delivered through written, oral, or diagram formats.

Physical Requirements

The position’s essential functions require:

• Frequent standing, walking, reaching with arms, and pushing/pulling.
• Talking, hearing, tasting, and smelling as key parts of daily activities.
• Occasional sitting, climbing, balancing, stooping, kneeling, and crouching.
• Ability to lift up to 50 pounds as needed.
• Clear vision in close, distance, color, and depth perception, with an ability to adjust focus.

Education & Qualifications

• Bachelor’s Degree in Nursing or Social Work is required.
• Current and valid RN, LVN, or LPN license (state-specific).
• Preferred: Two years of clinical nursing experience and a Certified Case Manager (CCM) certification.
• In-depth knowledge of Medicare, Medi-Cal, and Medicaid programs.
• Familiarity with Person-Centered Care (PCC) practices.
• Commitment to maintaining continuing education and compliance with the Department of Public Health.