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 to promote optimal patient outcomes. Your expertise will help bridge the gap between clinical teams, social services, and patients’ families, providing personalized support throughout their healthcare journey. This position offers an exciting opportunity to make a meaningful difference in patients’ lives while working within a collaborative, fast-paced environment committed to excellence.

Responsibilities

• Conduct comprehensive assessments of patients’ medical, social, and emotional needs across diverse clinical settings such as hospitals, emergency departments, ICU, PICU, and hospice care.
• Develop individualized care plans that incorporate medical terminology, discharge planning strategies, and utilization management principles.
• Collaborate with multidisciplinary teams—including nurses, social workers, physicians, and insurance providers—to coordinate services and optimize patient care pathways.
• Manage intake processes by gathering relevant patient information and facilitating referrals to appropriate social services or community resources.
• Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems efficiently to document case notes, treatment plans, and communication logs while ensuring compliance with HIPAA regulations.
• Provide patient education on health insurance coverage, managed care options, and medical terminology to empower informed decision-making.
• Support patients from diverse cultural backgrounds by demonstrating sensitivity and bilingual communication skills when applicable.

Experience

• Proven experience in critical care environments such as ICU or emergency medicine with a strong understanding of hospital operations and acute care procedures.
• Background in hospital medicine or Level I/II trauma center settings is highly desirable.
• Prior experience working with pediatric populations in PICU or pediatric outpatient settings is preferred.
• Knowledge of CPT coding, ICD-9/ICD-10 coding systems for accurate documentation and billing purposes.
• Familiarity with managed care processes, health insurance policies, discharge planning protocols, and utilization management practices.
• Strong working knowledge of EMR/EHR systems along with proficiency in Microsoft Office applications for reporting and communication tasks.
• Experience in social work or behavioral health services that involve client communication and working with individuals from diverse backgrounds enhances your suitability for this role.

Join us to be part of a passionate team dedicated to delivering exceptional patient-centered care! Your expertise will help improve health outcomes through effective case management strategies while supporting patients’ needs every step of the way.

Pay: $20.00 - $23.08 per hour

Work Location: In person