Case Manager

Job Summary

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 through complex medical journeys. This position offers an exciting opportunity to make a meaningful difference in patients’ lives while working within a collaborative, fast-paced environment.

Responsibilities

• Conduct comprehensive patient assessments to identify needs across medical, social, and behavioral health domains.
• Develop individualized care plans that align with clinical guidelines and patient preferences.
• Coordinate services with multidisciplinary teams including social workers, physicians, nurses, and community resources.
• Manage utilization review and utilization management processes to ensure appropriate care levels and resource use.
• Facilitate discharge planning by arranging follow-up care, home health services, or community support programs.
• Maintain accurate documentation within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems in compliance with HIPAA regulations.
• Communicate effectively with patients and their families, providing education on treatment options and care plans.

Qualifications

• Proven experience in critical care, hospital settings, or emergency medicine environments such as ICU, PICU (Pediatric Intensive Care Unit), or Level I/II trauma centers.
• Strong knowledge of medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and managed care processes.
• Background in nursing, social work, behavioral health, or related healthcare fields with relevant licensure or certification preferred.
• Familiarity with EMR/EHR systems and proficiency in Microsoft Office applications for documentation and reporting.
• Excellent client communication skills with the ability to work effectively with diverse populations from various cultural backgrounds.
• Experience in discharge planning, utilization review, and case management within hospital or hospice care settings highly desirable.
• Knowledge of HIPAA regulations and health insurance processes to ensure compliance and confidentiality.
• Bilingual abilities are a plus to serve a broader patient demographic effectively.

Join us as a Case Manager to empower patients through coordinated care that promotes healing, independence, and well-being!

Pay: $25.44 - $30.64 per hour

Expected hours: 40.0 per week

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person