Case Manager

Job Summary
Join our dynamic healthcare team as a Case Manager, where you will play a vital role in coordinating patient care across diverse medical settings. This energetic position requires a proactive approach to managing patient journeys, ensuring seamless communication among healthcare providers, patients, and families. Your expertise will help optimize clinical outcomes, facilitate discharge planning, and promote efficient utilization of resources within a fast-paced hospital environment. If you thrive in a collaborative setting and are passionate about delivering exceptional patient service, this opportunity is perfect for you! Responsibilities

• Conduct comprehensive patient assessments to determine individual needs and develop tailored care plans.
• Coordinate multidisciplinary teams to ensure timely and appropriate delivery of services across hospital units such as ICU, PICU, emergency medicine, and trauma centers.
• Manage discharge planning processes by collaborating with social workers, physicians, and families to facilitate smooth transitions from hospital to home or other care facilities.
• Perform utilization review and management to ensure compliance with healthcare policies like HIPAA and optimize resource utilization.
• Utilize Electronic Health Record (EHR) systems and Electronic Medical Record (EMR) systems to document patient interactions accurately and efficiently.
• Review medical documentation including CPT coding, ICD-9/10 coding, and ICD coding to support billing and compliance efforts.
• Engage in intake processes for new patients, ensuring all necessary information is collected for effective case management.
• Support behavioral health initiatives by coordinating services for patients with mental health needs or complex social situations.
• Maintain thorough knowledge of hospital protocols, including Level I and Level II trauma center procedures, hospice care standards, and pediatric care requirements such as those in the PICU. Experience
• Proven experience in critical care environments such as ICU or emergency medicine settings.
• Strong background in hospital medicine with familiarity in acute care and managed care environments.
• Experience working within Level I or Level II trauma centers is highly desirable.
• Knowledge of medical terminology, discharge planning, utilization review, and case management best practices.
• Demonstrated ability to navigate EMR/EHR systems efficiently while maintaining HIPAA compliance.
• Prior experience with social work or behavioral health coordination is advantageous.
• Excellent communication skills with the ability to collaborate effectively across multidisciplinary teams in high-pressure situations. This role offers an exciting opportunity to make a meaningful impact on patient outcomes while working within a vibrant healthcare environment dedicated to excellence and compassionate care!

Job Types: Full-time, Part-time, Contract, Internship

Pay: From $3,796.55 per month

Work Location: Hybrid remote in Orangeburg, SC 29115