Are you ready to be the driving force behind exceptional resident care and operational excellence? We are seeking a dedicated and impactful Registered Nurse (RN) or Licensed Practical Nurse (LPN) to step into an essential Case Manager role working across our Sterling Heights and Rochester Hills skilled nursing locations.
In this high-impact position, you will be the vital bridge between our residents, clinical teams, and managed care partners. By championing clinical coordination, accurate reimbursement support under the Patient Driven Payment Model (PDPM), seamless discharge planning, and strict regulatory compliance, you directly protect resident rights and ensure our community delivers top-tier, compassionate care. If you want your expertise, advocacy, and leadership to truly make a difference every single day, we want you on our team.
Key Responsibilities
- Drive positive resident outcomes by monitoring managed care authorizations, covered services, and approved lengths of stay.
- Serve as a key clinical advocate, communicating with payer representatives and the interdisciplinary team regarding care updates and continued stay reviews.
- Collaborate closely with nursing, therapy, and leadership to support accurate PDPM classification, diagnosis coding, and the triple-check process.
- Coordinate safe, efficient transitions of care and post-discharge services to support long-term recovery and minimize avoidable hospital readmissions.
- Ensure uncompromised regulatory compliance, upholding state and federal standards while safeguarding resident rights and dignity.
Qualifications & Requirements
- Active RN or LPN license in the State of Michigan in good standing.
- Minimum of 2 years of experience in case management, utilization review, managed care, or MDS within a skilled nursing or healthcare setting preferred.
- Working knowledge of PDPM reimbursement methodology, Medicare guidelines, and MDS 3.0 documentation preferred.
- Proficient computer skills and experience with Electronic Medical Records (EMR).
- Exceptional organizational, analytical, and interpersonal communication skills.
Benefits:
- Paid Time Off - start accruing day one of orientation
- Paid Holidays
- Access up to 50% of your earned pay DAILY!
- Flexible scheduling
- Company-paid Life insurance for FT staff
- Priority Health Medical, Delta Dental, and Vision Insurance
- 401(k) retirement plan
- Career advancement opportunities
Step into a role where your clinical expertise changes lives—apply today to join our dedicated healthcare community!
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