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Case Manager (Non Licensed)
Career Insights for Nurse Case Manager
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Based on Nevada data
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What they do
A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
$82,876 / year median in Nevada
+3% projected growth
Job Description
- Communicate regularly with residents and their families about Plans of Care, PT, OT, and other treatment protocols.
- Attend and participate in morning meetings/stand‑ups to facilitate communication with the team.
- Answer residents' questions about their care, treatment plans, illness progression, and other issues to ensure they feel safe and secure in our care.
- Monitor and adjust residents' statuses based on changing needs and conditions.
- Organize and prioritize daily work by assessing new, current, and discharging residents' needs in areas of responsibility.
- Complete documentation as required.
- Perform utilization review activities to provide residents with appropriate, timely, and cost‑effective care.
- Coordinate care with residents, care providers, facility financial services, and third‑party payers.
- Oversee all admissions and discharge activities.
- Coordinate referrals both to and from the facility.
- Relate positively, effectively, and appropriately with residents, families, staff, and professional colleagues.
- Ensure accurate charting and timely completion of necessary paperwork.
- Work independently and exercise sound judgment in interactions with physicians, providers, payers, residents, and families.
- Communicate effectively and promote cooperation and collaboration among residents/families/caretakers, physicians, nurses, and other ancillary partners.
- Demonstrate excellent time management skills to develop organized work processes in a high‑volume environment with rapidly changing priorities.
- Utilize intermediate computer skills.
- Maintain professional, respectful, and honest interactions with residents, families, staff, and partners. Supervisory Requirements This position has no supervisory responsibilities. Qualification Education and/or Experience
- Bachelor's Degree in Social Work, Human Services, Nursing, or related field preferred (non‑licensed candidates accepted).
- Prior experience in healthcare, case management, or social services strongly preferred.
- Knowledge of Medicare, Medi‑Cal, and Medicaid programs and benefits.
- Familiarity with PCC (PointClickCare) or other electronic medical record systems preferred.
- Certificate as a Certified Case Manager (CCM) a plus.
- Strong communication skills with the ability to read and comprehend policy and procedure manuals, and effectively present information to residents, families, and staff.
- Demonstrated ability to organize, prioritize, and m.