LVN Case Manager

Position Summary:

We are seeking a compassionate, detail-oriented Licensed Vocational Nurse (LVN) Case Manager to join our interdisciplinary team in a fast-paced Skilled Nursing Facility. The LVN Case Manager plays a key role in coordinating resident care, managing clinical documentation, supporting regulatory compliance, and collaborating with physicians, families, and payors to ensure optimal resident outcomes. This position is ideal for an LVN who enjoys care coordination, discharge planning, and working closely with an interdisciplinary team.

Key Responsibilities:

Manage HMO/Managed Care caseload and ensure timely submission of clinical updates Coordinate with insurance case managers for authorizations and continued stay reviews Obtain HMO authorizations Track authorization days and prevent lapses in coverage Prepare and submit clinical documentation to support medical necessity Participate in Medicare and Managed Care meetings (IDT, UR, Triple Check as applicable) Collaborate with MDS, therapy, nursing, and social services to align care plans with payor requirements Monitor denials and assist with appeals when necessary Support discharge planning to ensure safe and timely transitions Maintain accurate documentation in EMR to support billing and compliance Coordinate and manage resident care plans in collaboration with the interdisciplinary team Monitor and track physician orders, treatments, and clinical documentation Participate in Medicare/Managed Care case management and insurance communication Ensure accurate and timely documentation in the EMR Communicate with families regarding care updates and discharge needs and appointments Monitor clinical progress and report changes to appropriate team members Support compliance with state and federal regulations Maintain accurate resident records and ensure confidentiality Qualifications Current, active LVN license in good standing Minimum 1-2 years SNF experience required Strong knowledge of HMO/Managed Care processes Experience with concurrent review and insurance communication preferred Understanding of Medicare guidelines and PDPM a plus Excellent organizational and time-management skills Ability to work independently and collaboratively Preferred Experience Prior experience in Utilization Review (UR) Managed Care heavy census environment Experience handling insurance denials and appeals Familiarity with EMR systems and documentation compliance Join us in making a difference in the lives of our patients while advancing your nursing career in a supportive environment.

Job Types:

Full-time, Part-time Pay:

From $40.00 per hour

Benefits:

Dental insurance Employee discount Health insurance Paid time off Referral program Retirement plan

Work Location:

In person