Case Management, Certified Occupational Therapist Assistant (COTA), Clinical Study Publications, Clinical Support, Communication Skills, Dental Insurance, Detail Oriented, Discharge Plans, Documentation, Establish Priorities, Health Maintenance Organization (HMO), Healthcare Providers, Insurance, Managed Care, Medical Office Administration, Nursing, Patient Care, Patient Care Authorizations, Plan Meetings, Quality of Care, Support Documentation, Team Player, Time Management, Vision Plan
Do you want to work where your contributions are valued, with opportunities for growth? We are seeking a compassionate, detail-oriented Case Manager who is passionate about patient care and advocating for the services patients truly need. The ideal candidate is someone who can effectively review clinical documentation, collaborate with interdisciplinary teams, and work closely with insurance companies to secure appropriate coverage and continued rehab stays for patients. Join Venza care remotely in all our facilities! Hiring Immediately
Compensation:
- Salary: $60-65k based on experience
Benefits package:
- Medical, Dental, Vision insurance
- 401(k) Retirement plan
- Paid Time Off ( PTO ) - start earning from day one!
- Supplemental insurance options
- Access to ongoing training and professional development opportunities
Position:
- Remote - Clinical Case Manager
Location:
- Remote Opportunity! Check out our locations at VenzaCare.com
Join our amazing Case Management Team, delivering exceptional support! We cultivate a supportive workplace that prioritizes the well-being and work-life balance of our team. Within our growing network, we're more than just healthcare providers — we're a family that values kindness, innovation, and excellence.
Key Responsibilities:
- Review nursing and therapy documentation to ensure accurate clinical support for skilled rehab services
- Advocate for patients by communicating with insurance companies regarding authorizations, continued stays, and level of care needs
- Participate in interdisciplinary team meetings and discharge planning discussions
- Identify and address gaps in documentation to support medical necessity
- Monitor insurance updates, authorization deadlines, and payer requirements
- Help ensure patients receive the appropriate time and services needed for successful rehabilitation outcomes
Qualifications:
- Current licensed PT, OT, or ST required (assistant licenses including PTA and COTA accepted) with hands-on experience in a skilled nursing facility (SNF) environment
- Experience with HMO/Managed Care SNF authorizations and insurance review processes
- Excellent communication and advocacy skills
- Strong understanding of nursing and therapy documentation
- Proficiency in electronic medical records and care coordination systems (PCC and Net Health preferred)
The facility is an equal opportunity employer, and all qualified applicants will receive consideration for employment 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.
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Venza Care Management LLC