Case Manager

Overview

Join our dynamic healthcare team as a dedicated Case Manager, where you will play a vital role in coordinating patient care, optimizing health outcomes, and ensuring seamless communication across multidisciplinary teams. This position offers an exciting opportunity to leverage your clinical expertise, social services knowledge, and healthcare systems experience to support diverse patient populations. As a Case Manager, you will be at the forefront of discharge planning, utilization review, and patient advocacy, making a meaningful difference in individuals’ lives while navigating complex healthcare environments.

Duties

• Conduct comprehensive patient assessments to determine needs related to medical, social, behavioral health, and discharge planning.
• Develop personalized care plans by collaborating with physicians, nurses, social workers, and other healthcare professionals.
• Coordinate services across hospital departments such as ICU, emergency medicine, pediatrics, and trauma centers to facilitate efficient patient flow and optimal care delivery.
• Manage utilization review and utilization management processes to ensure appropriate resource use and compliance with insurance requirements.
• Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for documentation, tracking patient progress, and maintaining HIPAA compliance.
• Communicate effectively with patients and their families from diverse cultural backgrounds to explain treatment options and discharge instructions clearly.
• Facilitate connections with social services, community resources, and managed care organizations to support ongoing patient needs post-discharge.

Experience

• Proven experience in hospital settings such as ICU, emergency medicine, or Level I/II trauma centers is highly preferred.
• Strong background in nursing or social work with familiarity in medical terminology, CPT coding (Current Procedural Terminology), ICD-9/10 coding systems for diagnoses and procedures.
• Experience in hospice care or behavioral health settings is advantageous.
• Knowledge of managed care processes, health insurance policies, discharge planning procedures, and utilization review protocols.
• Proficiency with Microsoft Office suite and EMR/EHR systems for documentation and communication purposes.
• Excellent client communication skills with the ability to work effectively with individuals from diverse cultural backgrounds.
• Bilingual abilities are a plus for serving a broader patient demographic.

Join us as a Case Manager if you’re passionate about delivering compassionate care while navigating complex healthcare systems! We’re committed to supporting your professional growth through ongoing training in medical terminology, ICD coding updates, HIPAA regulations, and case management best practices. Your expertise will help improve patient outcomes and enhance the overall quality of care delivered across our healthcare network.

Pay: From $31.25 per hour

Expected hours: 8.0 per week

Work Location: In person