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 multidisciplinary teams, and ensure seamless discharge planning and utilization management. Your expertise will help optimize patient outcomes, improve care transitions, and support individuals from diverse backgrounds. This position offers an exciting opportunity to make a meaningful difference in patients’ lives while working within a home health environment. The ideal candidate will bring critical care experience, strong clinical knowledge of CAMP, and excellent client communication skills to foster positive patient experiences.

Duties

• Collaborate with healthcare providers, social workers, and families to develop personalized care plans tailored to each patient’s needs.
• Conduct comprehensive assessments of patients’ medical, social, and emotional needs to inform discharge planning and ongoing support strategies.
• Coordinate services across hospital departments including ICU, emergency medicine, pediatrics, and behavioral health units.
• Manage utilization review processes by evaluating medical necessity and ensuring compliance with health insurance policies and regulations such as HIPAA.
• Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems to document patient interactions, treatment plans, and progress notes accurately.
• Facilitate intake procedures for new patients and connect them with appropriate social services or community resources.
• Engage in case management activities that include CPT coding, ICD-9/10 coding, and documentation for billing purposes.
• Support discharge planning by arranging follow-up appointments, home health services, or hospice care as needed.
• Work with individuals from diverse cultural backgrounds to ensure respectful communication and culturally sensitive care delivery.

Skills

• Extensive hospital experience with a focus on critical care, ICU, or emergency medicine settings.
• Strong nursing background with knowledge of medical terminology and acute care procedures.
• Proficiency in EMR/EHR systems along with Microsoft Office applications for documentation and reporting.
• Familiarity with managed care processes, utilization management, and insurance requirements including health insurance knowledge.
• Experience in social work or behavioral health services related to patient advocacy and discharge planning.
• Ability to communicate effectively with patients, families, healthcare teams, and external providers; bilingual skills are a plus.
• Knowledge of ICD-9/10 coding standards and CPT coding for accurate documentation and billing compliance.
• Working understanding of HIPAA regulations to ensure patient privacy and data security at all times.
• Demonstrated ability to handle intake assessments efficiently while managing multiple priorities in a fast-paced environment.

Join us as a Case Manager where your expertise will empower patients through coordinated care solutions! We are committed to fostering an inclusive environment that values diversity and promotes professional growth for all team members.

Pay: $25.84 - $31.12 per hour

Work Location: In person