Case Manager

Skyline Healthcare Center-San Jose
San Jose, CA
Full-time

Skyline Healthcare Center-San Jose -

SUMMARY

Coordinates and monitors the assessment, treatment planning process and follow up for each resident / patient to maximize reimbursement.

Serves as an advocate for reimbursement of health benefits. Typically located in facilities with high Medicare and managed care census.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

May participate in patient pre-placement planning. Conducts orientation and periodic assessments of individual residents’ needs.

Assists patients and families in advocating for reimbursement benefits.

Provides periodic assessments and summaries to insurers for continued authorization of care.

Coordinates the oversight of delivery of services based on intent of stay and prior level of function. May include facilitation of patient review meetings and / or chart reviews.

Completes required forms and documents in accordance with company policy and state and / or federal regulations.

ENTRY QUALIFICATIONS

Graduate of an accredited School of Nursing.

Valid State registration as an LPN, LVN, or RN.

Current Social Work License in the State of California

Rate Negotiable based on experience.

30+ days ago
Related jobs
Promoted
Telecare Corporation
San Jose, California

Case Manager, Case Management, Housing Specialist, Housing Coordinator. Under direct supervision, serves as a primary support and case manager for individuals with mental illness and other co-occurring disorders by assisting them to live as independently as possible in their chosen community. ...

Promoted
AccentCare
CA, United States

Find Your Passion and Purpose as an RN Case Manager. Be the Best RN Case Manager You Can Be. ...

TravelNurseSource
San Jose, California

TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in Greenbrae, California, 94904!. Confront diverse medical cases that challenge and expand your skill set. ...

Lancesoft Inc
San Jose, California

We are currently seeking qualified candidates for RN.Shift 5x8 Days, 08:00:00-16:00:00, 8.Day 1 Medical, Health, Dental, Vision....

TravelNurseSource
San Jose, California

TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in San Francisco, California, 94114!. ...

Delve Search & Recruiting
CA, United States

Each Case Manager is assigned 1-6 assistants tasked with the routine responsibilities involved in casework. Personal Injury Case Manager - (Oakland, Sacramento, LA, SD, Riverside, Irvine). Our Case Managers' primary responsibility is to manage all medical treatment such as surgery, injections, infus...

Fusion Medical Staffing
San Jose, California

Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment. Client in San Diego, CA is looking for a Case Manager Registered Nurse to help them out for 13 weeks. ...

LRS Healthcare
San Jose, California

Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...

Fusion Medical Staffing
San Jose, California

Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment. Client in Downey, CA is looking for a Case Manager Registered Nurse to help them out for 13 weeks. ...

TravelNurseSource
San Jose, California

TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in San Francisco, California, 94109!. ...