Case Manager – SW/LPN/RN

🔥 1 hour ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

👔 Manager

👻 Ghost score 10%

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Curana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Serve as liaison between members, families/POAs, providers, and the Align Senior Care team • Conduct comprehensive health assessments and create personalized care plans • Participate in interdisciplinary team meetings • Coach and educate members and families about conditions, treatment plans, benefits, and community resources • Help members navigate appointments, medications, supplemental benefits, and transitions between care settings • Check in regularly in person or by phone to track progress and address new needs • Resolve billing issues, grievances, and utilization management needs across departments • Coordinate communication with physicians, APPs, and facility teams • Support leadership initiatives and partner with account managers to identify preferred providers and strengthen community partnerships • Complete Model of Care activities, including member outreach, health risk assessments, individualized care plans, documentation, member education, and follow-up on care gaps, barriers, and transitions of care

🎯 Requirements

• One (1) year of clinical practice experience in case management, home health, critical care, medical/surgical, discharge planning, concurrent review, or obstetric/neonatal care • Proficiency using Microsoft Office, including Word, Excel, and Outlook • Ability to navigate multiple systems and keyboarding • Active and unencumbered LPN/LVN/RN state license in the state where job duties are performed, or active Licensed Social Worker (LSW) • Bachelor's degree in social work (BSW) for the LSW pathway • Case management certification preferred • Bilingual in Spanish preferred • BSN preferred • Comparable work experience in care coordination, case management, social services, managed care, or senior healthcare may be considered in lieu of licensure • Must be able to work without employer visa sponsorship

🏖️ Benefits

• Direct, ongoing relationships with members and families • Collaborative, interdisciplinary team environment • Opportunity to shape member experience and support Curana Health’s mission • Equal Employment Opportunity commitment