Case Manager

Case Manager (LPN Preferred)

We are looking for a part-time Case Manager to become a vital part of our team at Sunny View Nursing Home, a small 57-bed facility serving both long- and short-term skilled patients. A Case Manager for a long-term care facility assesses resident needs, develops individualized care plans, coordinates services with healthcare professionals and families, and monitors progress to ensure residents receive optimal, holistic care. This role acts as a central point of contact, advocating for residents, identifying barriers to care, and maintaining communication to improve health outcomes and the continuity of services.

Job duties include, but are not limited to :

• Maintains insurance updates and authorizations. Serves as primary liaison between the facility, residents / families, third party payers (Medicare, Medicaid, Managed care, Commercial insurance).
• The case manager ensures that all authorizations, concurrent reviews and coverage extensions are obtained in a timely manner to support continuity of care and accurate reimbursement,
• Maintain and utilize a listing of current community resources that are useful to residents and their families / significant others.
• Participate in quality assurance interdisciplinary team meetings.

Key Responsibilities

Essential Skills and Qualifications