RN Case Manager

Coordinate and oversee the delivery of rehabilitation and medical services for residents in a Skilled Nursing Facility. Collaborates with the interdisciplinary team to ensure cost-effective, high-quality care while facilitating admissions, ongoing utilization review, and discharge planning. Serves as a resident advocate and primary liaison between the facility, insurance payers, and external medical management professionals. Responsibilities include welcoming and orienting new residents, assessing and communicating resident clinical status and care plan updates to insurance payers, documenting payer communications, coordinating with the interdisciplinary team to maintain continuity of care, ensuring accurate census reporting and timely reimbursement, and supporting efficient discharge planning. Requires current California RN license and a minimum of 3 years of clinical experience, with strong knowledge of managed care and Medicare utilization review guidelines. Benefits include competitive compensation and comprehensive health benefits. Equal Opportunity Employer. Location: Capitola, CA.