RN CLINICAL CASE MANAGER

Job Description

Job Description

About Legent Health

At Legent Health , our mission is simple yet profound: “To provide first-class health care that puts YOU first.”

Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.”

Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do:

• Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience.
• Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all.
• Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners.

Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care.

About the Role

The Case Manager will develop, implement, and evaluate individualized patient care plans. The Case Manager will advocate for patient welfare, and serve as a liaison between patients, their families, and healthcare providers. 

POSITION’S ESSENTIAL RESPONSIBILITIES: 

• Documenting clients’ case management plans and on-going activities. 
• Ongoing review of precertification requests of medical necessity. 
• Monitor the activities of clinical and non-clinical staff. 
• Identifying clients’ insurance coverage or other sources of payment for services. 
• Identifying and addressing client risk factors and/or obstacles to care. 
• Identifying client needs, current services, and available resources, then connecting the client to services and resources to meet established goals. 
• Communicating the care preferences of clients, serving as their advocate, and verifying those interventions meet the client’s needs and goals of treatment. 
• Screening clients and/or population for healthcare needs. 
• Developing a client-focused case management plan. 
• Educating the client/family/caregiver about the case management process and evaluating their understanding of the process. 
• Floating among various clinical services, where qualified and competent. 
• All other duties as assigned. 

EDUCATION AND EXPERIENCE REQUIREMENTS: 

• Graduate of an accredited nursing program required
• Minimum of TWO years’ experience required in Case Management. 
• Medical terminology knowledge. 
• Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. 

Why Join Legent Health?

Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture.

We Offer:

• Competitive salary and performance incentives
• Comprehensive benefits package 
• Paid time off and wellness programs
• Career development and training opportunities

Equal Employment Opportunity (EEO) Statement

Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic.

I-9 and E-Verify Compliance:
Employment eligibility will be verified through the U.S. Department of Homeland Security’s E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.

 

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