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 comprehensive 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 services, social support systems, and patient needs, fostering a supportive environment for diverse populations. This position offers an exciting opportunity to make a meaningful difference in patients' lives through proactive management and personalized care.

Responsibilities

• Conduct thorough assessments of patients’ medical, social, and behavioral health needs across various settings including hospitals, hospice care, and community clinics.
• Develop individualized care plans that align with clinical guidelines, insurance requirements, and patient preferences.
• Coordinate with multidisciplinary teams such as social workers, nurses, physicians, and therapists to ensure cohesive patient management.
• Facilitate discharge planning by arranging appropriate post-acute services, home health care, or community resources.
• Utilize electronic medical records (EMR/EHR systems) to document patient interactions, treatment plans, and progress accurately.
• Perform utilization review and management to ensure appropriate resource use while adhering to HIPAA regulations and health insurance policies.
• Communicate effectively with patients and their families from diverse cultural backgrounds to explain treatment options, answer questions, and provide emotional support.
• Maintain up-to-date knowledge of medical terminology, ICD coding (ICD-9/10), CPT coding, and managed care protocols to support accurate documentation and billing processes.

Experience

• Proven experience in case management within hospital settings such as ICU, emergency medicine, or trauma centers (Level I or Level II trauma experience preferred).
• Strong background in critical care, acute care, hospital medicine, or pediatric intensive care (PICU) experience highly desirable).
• Familiarity with social services coordination, behavioral health support, and discharge planning processes.
• Experience working with EMR/EHR systems and proficiency in Microsoft Office applications for documentation and communication purposes.
• Knowledge of HIPAA regulations along with health insurance policies related to utilization review and management.
• Excellent client communication skills with the ability to work effectively with individuals from diverse cultural backgrounds.
• Bilingual abilities are a plus to enhance communication with a broader patient demographic.
• Prior experience in managed care environments or working within a Level I or Level II trauma center is advantageous.

Join us in delivering exceptional patient-centered care through proactive case management! Your dedication will help improve health outcomes while supporting patients on their journey toward recovery and well-being.

Pay: $21.00 - $25.00 per hour

Benefits:

• Health insurance
• Paid time off
• Paid training
• Tuition reimbursement

Work Location: In person