Corporate Clinical Case Manager

Join Our Team as a Corporate Clinical Case Manager

Champion high-quality, compliant care across multiple facilities while ensuring residents receive the services they need and deserve.

Your Impact as a Corporate Clinical Case Manager
As a Corporate Clinical Case Manager supporting our communities, you’ll ensure regulatory compliance, improve care outcomes, and serve as a trusted clinical resource. Your responsibilities will include:

• Overseeing and supporting case management at assigned facilities
• Reviewing clinical and therapy documentation for skilled necessity of authorization and continued skilled stays
• Ensuring timely submission of documentation to insurance portals for continued authorization requests
• Collaborating with facility teams to address complex care needs and coordination barriers
• Monitoring skilled residents to assist with appropriate transition of care
• Providing guidance on payer documentation, coverage verification, and authorization
• Analyzing trends in care utilization, readmissions, and MCO requirements
• Preparing analytic reports for facility trends in skilled case mix for your supervisor
• Acting as a liaison with families, providers, and external partners when escalation is needed
• Assisting families with appeals when requested

What Makes You a Great Fit

• RN license, LVN license, or Licensed Therapist (PT/OT/ST/COTA/PTA) required
• 2–3 years of experience in long-term care, case management, or care coordination
• Knowledge of Medicaid/Medicare regulations, CMS guidelines, and MCO processes
• Utilization review or payer documentation experience preferred
• Strong critical thinking and clinical documentation review skills
• Ability to work collaboratively with interdisciplinary teams across multiple sites
• Proficient in EHR systems and Microsoft Office
• Organized, responsive, and committed to resident advocacy

Benefits (Full-Time)

• Health, Dental, and Vision Insurance
• Ancillary Policies: AD&D, Short-Term Disability, Cardiac, Cancer, Critical Illness, and Hospital Confinement
• Life Insurance: Whole and Term Policies
• Tuition Reimbursement
• Paid Time Off
• Immediate 401(k) Eligibility
• Exceptional Corporate Support

Equal Opportunity Employer

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.