SNF Case Manager

Job Description

Job Description

Description

About the Role

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

• 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.

• 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

Preferred Qualifications

• 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

You're Great for This Role If You

• Demonstrate strong clinical judgment and critical reasoning skills
• Are self-motivated, proactive, and eager to learn
• Can manage competing priorities while meeting deadlines
• Maintain professionalism in all interactions
• Have strong problem-solving and organizational skills
• Understand both the details and the broader impact of patient care decisions
• Enjoy working collaboratively while also thriving independently
• Have experience in SNF and/or case management environments

• Ability to travel to facilities for onsite case management activities as needed
• Ability to work in a fast-paced healthcare environment with changing priorities
• Frequent use of computers and electronic medical record systems
• May require participation in onsite and offsite meetings with providers, facilities, and health plan partners