Location: West Coast Region (OR/WA) (Regional Travel Required)
Job Type: Full-Time

Are you passionate about improving patient outcomes, streamlining transitions of care, and supporting skilled nursing facilities through clinical expertise and collaboration? We are seeking an experienced Regional Case Manager to support multiple skilled nursing facilities throughout the West Coast (OR/WA) Region.

In this dynamic regional role, you'll partner with facility leadership, hospital systems, managed care organizations, and interdisciplinary teams to ensure seamless care transitions, optimize reimbursement, strengthen referral relationships, and improve clinical outcomes across multiple locations.

If you thrive in a collaborative, fast-paced environment and enjoy making a meaningful impact across multiple facilities, we encourage you to apply.

The Regional Case Manager serves as a clinical resource for assigned skilled nursing facilities by providing guidance on admissions, care coordination, managed care processes, discharge planning, and census development. This role works closely with facility leadership to improve operational performance while ensuring residents receive the highest quality of care.

• Provide regional case management support for multiple skilled nursing facilities throughout the Midwest Region.

• Collaborate with interdisciplinary teams to coordinate admissions, transfers, and discharges while ensuring seamless transitions of care.

• Review clinical referrals to ensure appropriate placement and alignment with facility capabilities.

• Support facilities in reducing avoidable hospital readmissions and improving resident outcomes.

• Assist with complex discharge planning and care coordination initiatives.

• Partner with hospitals, physicians, managed care organizations, and insurance providers to facilitate timely admissions and authorizations.

• Review clinical documentation to support medical necessity and reimbursement.

• Assist facilities with payer communications, authorization processes, and insurance requirements.

• Monitor Medicare, Medicaid, and managed care trends while identifying opportunities to improve reimbursement and operational performance.

• Develop and maintain strong relationships with hospital partners, referral sources, and community healthcare providers.

• Support census growth initiatives by improving referral conversion and admission processes.

• Assist facility leadership with case management best practices and regulatory compliance.

• Travel throughout the Midwest Region to provide onsite support, education, and operational guidance.

• Collaborate with regional leadership on strategic initiatives designed to improve quality outcomes and operational success.

• Current RN, LPN, LSW, PT, OT, or ST license preferred.

• MDS certification and/or post-acute case management experience strongly preferred.

• Minimum of 3 years of experience in skilled nursing, post-acute care, hospital discharge planning, care coordination, or case management.

• Strong understanding of:

  • Medicare & Medicaid

  • Managed Care

  • Insurance Authorizations

  • Care Transitions

  • Discharge Planning

  • Skilled Nursing Operations

  • Clinical Documentation

• Exceptional communication, relationship-building, and organizational skills.

• Ability to analyze clinical information and make sound recommendations.

• Proficiency with electronic medical records (EMR) and Microsoft Office.

• Willingness to travel up to 50% throughout the Midwest Region.

You'll become part of a collaborative organization dedicated to improving resident care while supporting our skilled nursing communities through innovation, clinical excellence, and teamwork.

• Competitive Compensation

• Comprehensive Medical, Dental & Vision Insurance

• 401(k) Retirement Plan

• Generous Paid Time Off (PTO)

• Daily Pay Program

• Life & Disability Insurance

• Employee Wellness Pr