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 and resource allocation. Your expertise will help improve patient outcomes, optimize hospital resources, and support individuals from diverse backgrounds through personalized case management services. This position offers an exciting opportunity to make a meaningful difference in patients' lives while working within a collaborative and innovative environment.

Responsibilities

• Assess patient needs through comprehensive intake interviews, medical record reviews, and collaboration with healthcare teams.
• Develop individualized care plans that align with clinical guidelines, insurance requirements, and patient preferences.
• Coordinate services across hospital departments such as ICU, emergency medicine, pediatrics, and behavioral health to ensure continuity of care.
• Facilitate discharge planning by arranging post-acute services, social support, and community resources tailored to each patient's unique circumstances.
• Maintain accurate documentation of case management activities using EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems while adhering to HIPAA regulations.
• Conduct utilization review and utilization management to ensure appropriate level of care and resource utilization.
• Communicate effectively with patients, families, healthcare providers, social workers, and insurance companies to advocate for optimal patient outcomes.

Requirements

• Proven experience in critical care settings such as ICU, emergency medicine, or trauma centers; Level I or Level II trauma center experience is highly desirable.
• Strong background in hospital medicine, acute care, hospice care, or pediatric care including PICU (Pediatric Intensive Care Unit) experience.
• Knowledge of medical terminology, CPT coding, ICD-9/ICD-10 coding systems for accurate documentation and billing purposes.
• Familiarity with EMR/EHR systems and Microsoft Office applications for efficient case tracking and reporting.
• Understanding of managed care principles, health insurance policies, discharge planning processes, and HIPAA compliance standards.
• Excellent client communication skills with the ability to work effectively with individuals from diverse cultural backgrounds; bilingual abilities are a plus.
• Experience working with social services and behavioral health teams to support holistic patient care.
• Ability to handle intake procedures efficiently while managing multiple cases in fast-paced hospital environments such as Level I or Level II trauma centers or OR settings.

Join us as a Case Manager if you’re passionate about delivering exceptional patient-centered care through expert coordination and resource management!

Pay: $20.00 - $23.00 per hour

Expected hours: 40.0 per week

People with a criminal record are encouraged to apply

Work Location: In person