Licensed Vocational Nurse (LVN) Case Manager

Licensed Vocational Nurse (LVN) Case Manager Location Department Nursing FLSA Status Non-Exempt Shifts Hiring AM Shift Pay Grade

$35 - $40 / HOUR

We are seeking a dedicated and organized LVN Case Manager for our Skilled Nursing Facility (SNF). In this role, you will coordinate the continuum of care for residents from admission through discharge. Working closely with the interdisciplinary care team, physicians, therapy departments, and insurance case managers, you will ensure that residents receive optimal clinical care, that documentation meets state and federal regulatory standards, and that safe, efficient discharge plans are successfully executed. Key Responsibilities: Admission & Transition Coordination: Facilitate smooth transitions for new residents admitted to the SNF, reviewing pre-admission data, ensuring room readiness, and gathering necessary clinical documentation. Utilization Review & Insurance Updates: Monitor Medicare, Medicaid, and private insurance authorization periods; communicate clinical updates, therapy progress, and continued-stay justification to payors and managed care case managers. Interdisciplinary Collaboration: Act as the central communication hub between nursing staff, physical/occupational/speech therapists, social services, dietary, and physicians to track resident progress and update care plans. Discharge Planning: Proactively plan and coordinate resident discharges back to the community or lower levels of care, arranging home health, durable medical equipment (DME), outpatient therapy, and follow-up appointments. Documentation & Compliance: Maintain thorough, accurate, and timely documentation in the Electronic Health Record (EHR), ensuring compliance with SNF regulations, HIPAA, and payor requirements. Resident & Family Liaison: Serve as the primary point of contact for residents and their families regarding care status, expected length of stay, insurance updates, and discharge timelines. Qualifications & Requirements: Education: Graduate of an accredited School of Vocational Nursing. Licensure: Current, active, and unencumbered Licensed Vocational Nurse (LVN) license in the state. Certifications: Current BLS (Basic Life Support) certification. Experience: Minimum of 2–3 years of clinical nursing experience, with at least 1–2 years working in a Skilled Nursing Facility, long-term care, or sub-acute rehab setting. Prior experience with SNF utilization review, managed care payors, or MDS coordination is a strong plus. Skills: Strong working knowledge of Medicare Part A/B, Managed Care, and SNF reimbursement guidelines. Exceptional communication and negotiation skills for interacting with payors, physicians, and families. Proficiency in SNF electronic health record (EHR) systems (e.g., PointClickCare). Excellent time-management skills to balance multiple resident cases and strict insurance authorization deadlines. Working Conditions & Physical Demands: Primarily an office and clinical environment within a skilled nursing facility, requiring frequent movement throughout nursing units. Ability to sit, stand, walk, and use computer equipment for extended periods. Occasional bending, stooping, and assisting with resident transfers or clinical emergencies as needed. This company is an Equal Opportunity / Aff... All qualified applicants will receive consideration for employment without regard to disability, race, color, veteran status, religion, sex, or national origin. #J-18808-Ljbffr Meadows Ridge Care Center