SNF Case Manager
About The Position
We are currently seeking a highly motivated RN/LVN Case Manager to support our Health Services – Integrated Case Management (ICM) team. This role reports to the Manager, Case Management and will focus on coordinating care transitions and case management services for members in Skilled Nursing Facilities (SNF), Sub-Acute (SA), Acute Rehabilitation Units (ARU), and Long-Term Acute Care Hospitals (LTAC). This is an excellent opportunity for a licensed nurse who is interested in transitioning into case management. We are willing to train candidates with strong clinical experience and a passion for improving patient outcomes. The ideal candidate is detail-oriented, patient-focused, and thrives in a fast-paced healthcare environment. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
Requirements
- Active and unrestricted Texas Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license
- At least 2 years of clinical nursing experience
- Proficiency with Microsoft Office Suite, including Word, Excel, and Outlook
- Strong analytical and critical thinking skills
- Ability to prioritize multiple responsibilities in a fast-paced environment
- Excellent communication, customer service, and relationship-building skills
- Strong organizational skills and attention to detail
- Ability to work independently and collaboratively within a team environment
Nice To Haves
- Previous case management experience
- Skilled Nursing Facility (SNF) experience
- Experience working with ARU, LTAC, or Sub-Acute populations
- Experience using EZCAP
- Managed care, IPA, or health plan experience
- Experience educating or training staff and cross-functional teams
Responsibilities
- Manage transitions of care for members in SNF, SA, ARU, and LTAC settings using established clinical guidelines and medical necessity criteria.
- Conduct initial and concurrent reviews of medical records and coordinate care plans to support appropriate levels of care and reduce hospital readmissions.
- Collaborate with hospitalists, discharge planners, providers, facilities, and health plans to ensure effective discharge planning and care coordination.
- Communicate determinations, maintain compliance with regulatory and delegation requirements, and provide exceptional customer service to internal and external stakeholders.
- Attend case management meetings, provide onsite facility support as needed, and maintain strong relationships with providers, facilities, and medical directors.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
