Nurse Case Manager

About You

We are seeking highly motivated and compassionate individuals to join our dynamic and diverse team. Plaza Healthcare offers a unique opportunity if you thrive in a culture of cooperation, accountability, and recognition.

About Us

Plaza Healthcare strives to be the leader in our community with a complete and unrelenting commitment to exceptional care. The measure of our success is rooted in exceeding the expectations of our patients, families, business partners, and employees.

We are a 179-bed CMS Rated 5-Star Skilled Nursing Facility located in South Scottsdale. Specializing in high-acuity post-acute care, our services include tracheostomy and ventilator care, dialysis, complex wound care, and rehabilitation. Plaza Healthcare is privately owned and has served Arizona and the surrounding States for over 30 years.

If you share our values and enthusiasm, you will find a home at Plaza Healthcare.

Job Description

As a Case Manager, you will oversee a designated group of patients and ensure they receive the appropriate level of care throughout their stay. This role involves collaboration with various healthcare professionals to coordinate treatment plans, facilitate communication among stakeholders, and promote positive patient outcomes.

Requirements

Responsibilities:

• The Nurse Case Manager will Manage insurance authorizations, ensuring that necessary approvals are obtained for services rendered.
• Work closely with our Discharge Planner, ensuring patients are prepared for their transition to home or other care settings.
• Document patient progress and communicate updates to the healthcare team.
• Reviewing proposed treatments and procedures to ensure they are medically necessary and aligned with the managed care plan, including obtaining prior authorizations when required.

• Reviewing medical claims for accuracy and appropriateness, addressing any potential issues related to billing or coding.

• Conducting assessments of patients’ needs and developing individualized care plans.
• Coordinating services and resources required for patient care.
• Monitoring patient progress and modifying care plans as necessary.
• Facilitating communication among doctors, nurses, patients, and families.
• Ensuring compliance with healthcare regulations.

Qualifications:

• Must be a Registered Nurse or Licensed Practical Nurse
• Experience as a Case Manager in a healthcare setting preferred.
• Strong communication and organizational skills.
• Ability to work independently and within a team.
• Knowledge of healthcare systems and resources.
• Case management experience in a skilled nursing healthcare setting (1-2 years preferred).

• ALTCS application experience preferred
• Strong organizational and communication skills.
• Ability to work collaboratively in a multidisciplinary team.
• Knowledge of healthcare regulations and discharge planning processes.

Benefits

• Monday - Friday
• Full-time employment
• Subsidized health, dental, and vision insurance
• All eligible benefits effective the 1st of the month following date of hire
• Paid Time Off and Sick Time Program
• Numerous Employee recognition programs
• 50’s Diner restaurant on site – Brand new $3.00 per meal menu and Drinks per shift
• Complimentary uniform program
• Subsidized bus pass
• Reserve shift bonus program
• Professional growth opportunities
• The Valley’s best staffing ratios
• Fun family work environment
• Plaza Healthcare has been chosen by Newsweek and Statista as the best Nursing Home in Arizona of the Best Nursing Homes of 2023! This accomplishment is based on Performance Data, Reputation Surveys of over 10,000 medical experts, COVID-19 Response and Accreditations
• New Grads are welcome

EQUAL OPPORTUNITY EMPLOYER

We are an equal opportunity employer. We celebrate diversity & pride ourselves on creating an inclusive environment for all employees and residents.