Regional Case Manager - Skilled NUrsing Home -NJ

$125,000 - $165,000/Yr

Recruit Secure - Lakewood Township, NJ

Full-time - Mid Level

Lakewood Township, NJ

Administrative and Support Services

About the position

The Regional RN Care Manager is a key leadership role within a growing for-profit healthcare organization, responsible for overseeing clinical services and reimbursement processes for Skilled Nursing Homes across multiple states. This position involves managing a team of Care Managers to ensure quality clinical outcomes and effective resource utilization, while also ensuring compliance with Medicaid, Medicare, and other payor regulations.

Responsibilities

• Oversee Medicare, Medicaid, and other payor sources to ensure appropriate clinical services are provided.
• Manage a team of 4 - 5 Care Managers responsible for care plan management.
• Focus on quality clinical outcomes and maximum resource utilization.
• Assess patients' status and progress to create and modify Care Plans.
• Ensure compliance with Healthcare DOH regulations and state policies.
• Meet department and company goals.

Requirements

• Must be a licensed RN.
• A BSN degree is preferred.
• Minimum of 3-4 years of experience in Skilled Nursing Homes.
• Experience working with multiple facilities in multiple states.
• Minimum of 2 years in a supervisory or management role.
• Deep understanding of Medicaid, Medicare, and Managed care reimbursements, regulations, and policies.
• Proficient computer skills and EMR software.
• Excellent managerial, interpersonal, and communication skills.

Benefits

• Paid time off
• Competitive salary
• Bonuses
• Excellent benefits