Case Manager

Job Overview

We are seeking a dedicated and compassionate Case Manager to join our dynamic healthcare team. In this vital role, you will coordinate patient care plans, facilitate communication among healthcare providers, and ensure seamless discharge planning. Your expertise will help improve patient outcomes, optimize resource utilization, and support individuals from diverse backgrounds through personalized case management strategies. This position offers an exciting opportunity to make a meaningful difference in patients' lives while working in a fast-paced, collaborative environment.

Duties

• Assess patient needs through comprehensive intake interviews and medical record reviews, including EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems.
• Develop individualized care plans that incorporate medical, social, behavioral health, and community resources to promote optimal recovery and well-being.
• Coordinate with multidisciplinary teams—including nursing, social work, physicians, and specialists—to facilitate timely interventions and treatments.
• Manage discharge planning processes by evaluating post-hospital needs, arranging home health services, hospice care, or rehabilitation as appropriate.
• Conduct ongoing case reviews to monitor progress, adjust care plans, and ensure compliance with HIPAA regulations and healthcare standards.
• Serve as a primary point of contact for patients and their families, providing clear communication about treatment options, insurance coverage, and available social services.
• Collaborate with managed care organizations and health insurance providers to verify benefits and facilitate utilization management.

Skills

• Strong nursing background with knowledge of medical terminology, CPT coding, ICD coding (ICD-9/10), and discharge planning procedures.
• Knowledge of HIPAA regulations, health insurance processes, managed care protocols, and utilization management practices.
• Excellent client communication skills with the ability to work effectively with individuals from diverse cultural backgrounds.
• Background in social work or behavioral health enhances the capacity to address complex psychosocial needs related to patient care.
• Ability to handle intake assessments efficiently while demonstrating empathy and professionalism throughout interactions.

Join us as a Case Manager to empower patients on their journey toward recovery! Your dedication will help bridge gaps in healthcare delivery while fostering a supportive environment for all individuals you serve.

Pay: From $26.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person