What are the responsibilities and job description for the Case Management Resource position at Glenwood Care Center?
Case Management Resource
Location: Remote with Required Onsite Support & Training
Employment Type: Full‑Time, Exempt
Department: Case Management / Managed Care
About the Role
The Case Management Resource plays a critical role in elevating case management performance across our skilled nursing facilities. This position provides remote operational oversight combined with regular onsite training, coaching, and workflow support. You will help ensure the highest standards of patient care, strengthen relationships with payer partners, optimize operational efficiency, and drive improved clinical outcomes and patient satisfaction across our managed care population.
Key Responsibilities
Case Management Operations & Performance
Ensure timely submission of authorizations, including prior authorizations, concurrent reviews, and re‑authorization requests.
- · Monitor and maintain Managed Care performance scorecards.
- · Support care managers with complex case escalations and payer communication.
- · Promote best practices in case management workflows.Training, Coaching & Onsite Support
- · Provide onsite training and oversight to skilled nursing facility care managers.
Payer, Clinical & Continuum Collaboration
- · Strengthen relationships with health plans, ACOs, IPAs, hospitals, and ancillary providers.
- · Communicate payer expectations and updates.
- · Support clinical and operational partners to align capacity and throughput.
- · Participate in transition calls and IDT meetings.
2 / 2Compliance, Documentation & Quality Assurance
- · Ensure adherence to state, federal, CMS, and company standards.
- · Evaluate documentation quality for accuracy and compliance.
- · Assist with audits and managed care reviews.
- · Maintain compliance with company policies, including Travel & Expense.
Qualifications
Required
- · Active LVN, RN, or other clinical certification/degree.
- · Experience with managed care populations.
- · Ability to train, coach, and support facility care managers.
- · Strong understanding of case management workflows.
- · Proficiency in maintaining performance scorecards.
- · Excellent communication and organizational skills.
- · Ability to travel regularly.
Work Environment & Travel Requirements
This is a remote-first role but requires consistent onsite presence for reviews, training, and support.
All travel must comply with company policies.
Core Values
Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership.
Compensation & Benefits
Competitive compensation with comprehensive benefits.
- · Coach staff on payer requirements and documentation quality.
- · Develop training materials and workflow tools.
- · Evaluate facility workflows and guide improvements.
Job Type: Full-time
Pay: $90,000.00 - $120,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Oxnard, CA 93030
Salary : $90,000 - $120,000