Case Manager / Admissions Nurse (Licensed Nurse) - MArtha & Mary

Martha & Mary Health Services • Poulsbo, WA

6d • $85,000 - $95,000

About The Position

The Case Manager / Admissions Nurse oversees, manages, and coordinates the care experience for residents and patients from admission through discharge. Serving as the primary point of contact for care coordination, this role ensures seamless communication across interdisciplinary teams, external providers, residents, and families. The Case Manager plays a critical role in utilization management, discharge planning, quality outcomes, and patient advocacy while also providing leadership and oversight to licensed nursing staff and NACs. This position functions as an exempt role and requires flexibility to meet the needs of residents and patients.

Requirements

• Associate Degree required
• Current RN or LPN license in the State of Washington (required)
• Strong knowledge of Medicare, HMO contracts, MDS, PDPM utilization, and evidence-based practices
• Exceptional communication and customer service skills
• Highly organized with strong documentation abilities
• Ability to collaborate effectively with interdisciplinary teams
• Proficiency with MS Office Suite and healthcare systems including Answers on Demand, ADP, DocSTAR, FaxCORE, and mobile technology
• Ability to safely use medical devices and equipment

Nice To Haves

• Bachelor’s Degree preferred
• Sub-acute care or Skilled Nursing experience preferred

Responsibilities

• Coordinate and integrate case management and social service functions into individualized plans of care and discharge planning.
• Conduct medical record reviews, utilization reviews, and quality assessments from admission through discharge.
• Oversee direct provision of care and ensure evidence-based practices are delivered.
• Conduct Care Conferences, Warm Handovers, interdisciplinary rounds, and family conferences.
• Assist with admission assessments, orders, and paperwork per DNS direction.
• Coordinate admissions, discharges, transfers, and bed management with nursing leadership and admissions teams.
• Communicate with primary care providers, hospital partners, and external specialists throughout the resident stay.
• Initiate and present NOMNOC (denial) letters as appropriate.
• Work closely with internal partners including Nursing Leadership, Social Work, Rehab Services, MDS, HIM, A/R, Therapists, and Operations.
• Collaborate with external stakeholders such as family members, hospitals, discharge planners, HMOs, physicians, home health agencies, and other providers.
• Serve as a resident and patient advocate, ensuring informed decision-making and family education.
• Monitor RUG utilization, PDPM outcomes, and appropriate service use.
• Conduct reviews related to falls, wounds, medication errors, readmissions, pharmacy discrepancies, and other quality indicators.
• Ensure appropriate testing, timely results, and adherence to regulatory and payer requirements.
• Participate in weekly Case Management meetings and continuous quality improvement initiatives.
• Provide day-to-day leadership, guidance, and supervision to Licensed Nurses and NACs.
• Participate in hiring, performance management, coaching, and employee development in alignment with organizational values.
• Troubleshoot care concerns, complaints, and conflicts, escalating to DNS or Operations leadership as needed.
• Perform medication destruction and disposal oversight.
• Assist nursing staff with care activities as needed.
• Perform all regular RN or LPN duties per licensure and job description.

Benefits

• Paid Time Off (PTO) is accrued at varying rates depending on length of employment. Accrual rates begin at 5.32 hours per month based on a 40-hour workweek. These accruals include the required sick leave per Washington State’s Paid Sick Leave Law
• 40% discount on child care services while working
• Comprehensive benefit package after 60 days to include medical, dental, vision and life insurance options for full time employees.
• Career advancement opportunities across multiple sites and departments
• 403(b) Retirement Savings Plan is available immediately upon hire
• 5 Paid Holidays
• Employee Assistance and Counseling for life’s challenges outside of the workplace
• Cell phone, Health Club and Auto service discounts
• And much more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree