Case Manager and Discharge Planner

Thrive Rehab of Pearland redefines transitional care as the first facility of it's kind. We combine a progressive model of healthcare with an atmosphere of hospitality and the amenities of a fine luxury resort, designed for guests who require short-term medical therapy or treatment after a hospital stay. As a company local to Houston, we are seeking a candidate will a helpful attitude and friendly demeanor. We are currently looking for a FT Case Manager / Discharge Planner with excellent customer service - energetic, friendly and caring - to provide our guests with compassionate and personal treatment. Job Overview We are seeking a dedicated, detail-oriented, and compassionate Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN) to join our interdisciplinary team as a Nurse Case Manager / Discharge Planner. In this role, you will be the bridge between clinical care, insurance management, and safe transitions of care. You will manage our residents' journeys from admission through their stay, ensuring they receive appropriate, high-quality care while actively planning for their safe return home or to a lower level of care. Key Responsibilities 1. Care Coordination & Utilization Review Interdisciplinary Team (IDT)

Leadership:

Collaborate closely with physicians, therapists, social services, and nursing staff to develop, implement, and monitor individualized care plans.

Utilization Management:

Conduct concurrent clinical reviews with insurance providers (Medicare, Medicaid, Managed Care, and private insurance) to secure authorizations and ensure appropriate utilization of facility resources.

Resident Advocacy:

Serve as the primary point of contact for families and residents, translating complex clinical goals into understandable steps. 2.

Discharge Planning & Transitions of Care Early Transition Planning:

Initiate discharge planning upon admission to estimate the length of stay and identify potential barriers to a safe discharge.

Community & Resource Liaison:

Coordinate post-discharge needs, including ordering Durable Medical Equipment (DME), arranging home health care, scheduling follow-up medical appointments, and coordinating non-emergency medical transportation.

Documentation & Compliance:

Ensure all discharge paperwork, medication reconciliation forms, and care transitions strictly comply with state and federal regulations.

Position Requirements Education & Licensure:

Active, unencumbered Texas state license as a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) / Licensed Practical Nurse (LPN) .

Experience:

Minimum of 1-2 years of clinical nursing experience in a skilled nursing facility, long-term care, or acute care setting. Prior experience in case management, utilization review, or discharge planning is strongly preferred .

Knowledge & Skills:

Strong familiarity with Medicare/Medicaid guidelines and Managed Care insurance authorization processes. Excellent communication, conflict resolution, and interpersonal skills. Proficiency with Electronic Health Records (EHR) software (PointClickCare).