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 transitions across various healthcare settings. Your expertise will help optimize patient outcomes, promote efficient resource utilization, and support patients and their families through complex medical journeys. This position offers an exciting opportunity to make a meaningful difference in the lives of diverse populations while working within a collaborative, fast-paced environment.

Responsibilities

• Assess patient needs through comprehensive intake interviews and medical record reviews, including EMR (Electronic Medical Record) and EHR (Electronic Health Record) systems.
• Develop personalized care plans that incorporate medical, social, behavioral health, and discharge planning components.
• Coordinate with hospital staff, social workers, healthcare providers, and community resources to facilitate appropriate services such as hospice care, behavioral health support, or social services.
• Conduct utilization review and management to ensure appropriate level of care in compliance with HIPAA regulations and health insurance policies.
• Assist with discharge planning by arranging follow-up appointments, home health services, or community-based programs for patients from diverse cultural backgrounds.
• Maintain detailed documentation of case activities, patient interactions, and service outcomes while adhering to confidentiality standards.
• Communicate effectively with clients and their families to provide education on medical terminology, managed care options, and available resources.

Experience

• Proven experience in hospital settings such as ICU (Intensive Care Unit), Level I or Level II trauma centers, or pediatric units like PICU (Pediatric Intensive Care Unit).
• Strong background in critical care, acute care, emergency medicine, or hospital medicine environments.
• Knowledge of CPT coding (Current Procedural Terminology), ICD-9/10 coding systems for accurate documentation and billing purposes.
• Familiarity with managed care processes, utilization management principles, and discharge planning procedures.
• Experience working with EMR/EHR systems and proficiency in Microsoft Office applications for reporting and communication tasks.
• Prior social work or behavioral health experience is highly desirable.
• Bilingual skills are a plus to effectively serve diverse patient populations.
• Demonstrated ability to work collaboratively with multidisciplinary teams while managing multiple cases efficiently.

Join us to be part of a passionate team committed to delivering exceptional patient-centered care! We value energetic professionals eager to advocate for patients’ needs while fostering a supportive environment that promotes growth and excellence in healthcare delivery.

Pay: $15.00 - $20.00 per hour

Expected hours: 40.0 – 45.0 per week

Benefits:

• Health insurance

Work Location: In person