Case Manager RN

At Aura Healthcare Group, a resident's stay goes best when the clinical plan and the payer plan line up. We're looking for an organized, clinically sharp Case Manager RN to coordinate authorizations, length of stay, and discharge planning across our West Virginia facilities, so every resident gets the right care and a safe next step.

• Obtain and track initial and continued-stay authorizations with Medicare Advantage, managed Medicaid, and commercial payers

• Review hospital referrals with the admissions team and Hospital Liaison to confirm each facility can meet the resident's needs

• Monitor skilled residents' progress and length of stay with nursing, therapy, and the interdisciplinary team

• Lead discharge and transition planning, including home health, equipment, and follow-up appointments

• Identify residents at high risk of readmission and work with facility teams on prevention plans

• Lead utilization review and skilled meetings, and support appeals and peer-to-peer reviews

• Track and report case management results and educate facility teams

• Graduate of an accredited nursing program; BSN preferred

• Current, unrestricted West Virginia RN license, or a multistate (compact) license valid in West Virginia

• Current CPR/BLS certification

• 3+ years of nursing experience, including case management, utilization review, or managed care

• Case management certification (such as CCM) preferred

• Strong knowledge of skilled care criteria, Medicare, Medicaid, and managed care

• Comfortable using PointClickCare and payer portals

• Valid driver's license and reliable transportation for regular travel between Aura facilities

• Health benefits (medical, dental and vision) for full-time employees

• 401(k)

• Employee Assistance Program (EAP) for full-time employees

• Tuition Reimbursement

• Employee Referral Bonus

• Paid time off

Apply today and grow your career with our team!