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Provided by the employer
Verified Pay check_circle $55 per hour
Hours Full-time
Location Capitola, CA
Capitola, California open_in_new

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Verified Pay check_circleProvided by the employer
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About this job

RN Case Manager

Position Summary

The RN Case Manager is responsible for coordinating and overseeing the delivery of rehabilitation and medical services for residents in a Skilled Nursing Facility. This role collaborates closely with the interdisciplinary team to ensure cost-effective, high-quality care while facilitating admissions, ongoing utilization review, and discharge planning. The RN Case Manager serves as a resident advocate and primary liaison between the facility, insurance payers, and external medical management professionals.

Qualifications

  • Current California RN license in good standing
  • Minimum of 3 years of clinical experience in a hospital, skilled nursing facility, or related healthcare setting
  • Strong working knowledge of managed care, Medicare, and utilization review guidelines
  • Excellent verbal and written communication skills
  • Proven ability to multitask, prioritize, and meet deadlines
  • Ability to work both independently and collaboratively while following established procedures and regulations
  • Demonstrates professionalism, accountability, and solution-oriented thinking
  • Displays emotional maturity with the ability to remain calm, focused, and professional in high-pressure situations
  • Treats residents, families, and coworkers with respect, kindness, and professionalism at all times

Responsibilities

  • Welcome and orient new residents, ensuring a positive and supportive admission experience
  • Assess, monitor, and communicate resident clinical status, functional changes, and care plan updates to insurance payers
  • Document all payer communications, including resident progress, anticipated outcomes, authorizations, and special instructions
  • Participate in and collaborate with the interdisciplinary team to coordinate services and maintain continuity of care
  • Coordinate with the Business Office and Medical Records departments to ensure accurate census reporting and timely reimbursement for managed care and Medicare residents
  • Support efficient discharge planning to promote safe transitions of care

Benefits

  • Competitive compensation
  • Comprehensive health benefits including medical, dental, and vision, with the company covering a substantial portion of premiums
  • 401(k) retirement plan with discretionary annual company match
  • Company-paid basic life insurance and disability coverage (voluntary buy-up options available)
  • Paid Time Off (vacation, sick, and holiday pay)
  • Employee Assistance Program (EAP)
  • Tuition Assistance and Professional Development funds
  • Bene-Hub employee discount programs and additional perks

*Benefits available to full-time employees.

We are proud to be an Equal Opportunity Employer.

Work schedule

  • 8 hour shift

Supplemental pay

  • Signing bonus

Nearby locations

Posting ID: 1235890273 Posted: 2026-02-25 Job Title: Registered Nurse