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Ltc Case Manager Jobs in Appleton, WI (NOW HIRING)

MDS Coordinator

Oshkosh, WI · On-site

$80K - $90K/yr

New admission authorizations, updates, communication with family/insurance providers, communication with case managers * ICD 10 coding for all new admissions and continual updating for LTC population

Ltc Case Manager information

See Appleton, WI salary details

$18

$46

$78

How much do ltc case manager jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for ltc case manager in Appleton, WI is $46.38, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $56.06 per hour, depending on experience, location, and employer.

What is an LTC Case Manager?

LTC Case Managers are professionals who coordinate and oversee long-term care services for individuals with chronic illnesses, disabilities, or age-related conditions. They assess clients' needs, develop care plans, arrange services such as home health care, and monitor progress to ensure clients receive appropriate support. LTC Case Managers often act as liaisons between clients, families, healthcare providers, and insurance companies to ensure comprehensive and effective care. Their goal is to enhance the quality of life and promote independence for those requiring ongoing assistance.

What are some common challenges faced by an LTC Case Manager when coordinating care for clients?

LTC Case Managers often encounter challenges related to balancing the diverse needs of clients, families, and healthcare providers. They must navigate complex regulations, insurance requirements, and limited resources while ensuring that clients receive appropriate long-term care services. Communication and coordination between multiple parties—such as physicians, social workers, and family members—can also be demanding, requiring strong organizational and interpersonal skills. Staying updated on available community resources and adapting care plans as needs evolve are critical for success.

What are the key skills and qualifications needed to thrive as an LTC Case Manager, and why are they important?

To thrive as a Long-Term Care (LTC) Case Manager, you need a background in nursing, social work, or a related field, often with licensure or certification such as RN or LCSW. Familiarity with care management software, electronic health records (EHRs), and relevant regulatory requirements is typically required. Strong communication, organization, and problem-solving abilities are essential soft skills for coordinating care and advocating for patients. These competencies ensure effective care planning, regulatory compliance, and improved quality of life for individuals in long-term care settings.

What is the difference between Ltc Case Manager vs Medical Social Worker?

AspectLtc Case ManagerMedical Social Worker
CredentialsTypically requires a nursing license or certification in case managementRequires a master's degree in social work (MSW) and licensure
Work EnvironmentLong-term care facilities, home health agencies, insurance companiesHospitals, clinics, long-term care facilities
Employer & IndustryHealthcare providers, insurance companies, senior care servicesHospitals, healthcare organizations, community agencies

While both roles focus on patient care coordination, Ltc Case Managers primarily manage long-term care plans and insurance processes, often with a nursing or case management certification. Medical Social Workers provide emotional support, counseling, and social services, requiring a social work degree and licensure. Understanding these differences helps in choosing the right career path or job search focus.

What are popular job titles related to Ltc Case Manager jobs in Appleton, WI?

For Ltc Case Manager jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Ltc Case Manager jobs in Appleton, WI look for?

The top searched job categories for Ltc Case Manager jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Ltc Case Manager jobs?

Cities near Appleton, WI with the most Ltc Case Manager job openings:

MDS Coordinator

Eden Senior Care

Oshkosh, WI • On-site

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 hours ago


Job description

Eden Senior Care, founded in 2016, is a growing Healthcare Management company focused on managing and operating Skilled Nursing, Rehabilitation and Assisted Living communities in Minnesota, Wisconsin, Illinois, Ohio, Pennsylvania, Indiana and Alabama. Our mission with each community is to support their success by providing strong leadership, corporate support, and the resources and tools to realize their goals. Eden Senior Care promotes and encourages the success of each of its employees and values the individual experience of its guests and their families.


Edenbrook of Oshkosh is a skilled nursing facility located in Oshkosh, Wisconsin, as part of the Eden Senior Care network. We are looking for a dedicated MDS Coordinator to become a valued member of our compassionate and skilled team.


Position: MDS Coordinator ($10,000 SIGN-ON BONUS)

  • $10,000 SIGN-ON BONUS paid in 4 quarters.
  • Monday–Friday schedule.
  • No on‑call requirements, no shift coverage, and no call rotation
  • AAPACN membership support

Salary is negotiable and based on experience and skill set. Looking for someone with MDS experience.

Candidates must be well-versed in MDS, RAI, and Clinical Reimbursement. Prior experience with Point Click Care (PCC) preferred.


Essential Duties and Responsibilities:

  • MDS scheduling, set up and completion
  • New admission authorizations, updates, communication with family/insurance providers, communication with case managers
  • ICD 10 coding for all new admissions and continual updating for LTC population
  • Participate in the implementation, updating and review of the resident care plan
  • Attend/communicate with family’s and residents on current plan of care, insurance needs, and discharge needs – attend care conferences
  • Educate IDT on needs of the MDS, Assessments and Skilled care service requirements
  • Run Utilization Review Meetings and ensure PDPM scores and rates are validated
  • Review and Educate IDT/Staff to ensure proper documentation is maintained
  • Maintain Insight/Participation to facility Quality Measures and QAPI process
  • Chart Reviews/Audits as needed
  • Assist IDT during Survey process

Qualifications:

  • Must hold an active LPN or RN license in the state of Wisconsin.
  • Strong knowledge of the MDS process- 3+ years’ experience preferred.
  • Strong knowledge of ICD 10 coding/coding guidelines, Medicare Chapter 8 Manual, RAI Manual
  • Possesses good organization skills-
  • Excel document, Teams, or Zoom platform experience a plus!
  • Excellent in written and oral communication skills.

Benefits:

  • Health, Dental, and Vision benefits
  • Vacation/Holiday/Sick time
  • 401k with company match
  • Tuition Reimbursement
  • Supportive working environment and culture

Keywords:

MDS, Reimbursement. RAI, Minimum Data Set, Medicare, Insurance, Medicaid, RNAC, AANAC, RAC-CT, RNAC-CE