Case Manager

Overview
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 discharge planning. Your expertise will help optimize patient outcomes, enhance satisfaction, and promote efficient utilization of healthcare resources. This position offers an exciting opportunity to make a meaningful difference in patients' lives while working in a fast-paced, collaborative environment.

Responsibilities

• Conduct comprehensive patient assessments to determine individual needs and develop personalized care plans.
• Coordinate with healthcare providers across various departments such as critical care, hospital medicine, emergency medicine, and behavioral health to ensure cohesive patient management.
• Facilitate discharge planning by organizing necessary services, community resources, and follow-up care to support smooth transitions from hospital to home or other facilities.
• Manage patient intake processes, ensuring accurate documentation within electronic health record (EHR) systems while maintaining strict adherence to HIPAA regulations.
• Perform utilization review and management activities to ensure appropriate level of care and resource allocation based on clinical guidelines like ICD-10/ICD-9 coding and CPT coding standards.
• Collaborate with social workers, nurses, physicians, and other healthcare professionals to address complex cases involving hospice care, pediatric needs, or trauma center requirements.
• Maintain detailed case documentation, monitor patient progress, and adjust care plans as needed to meet evolving clinical conditions.

Requirements

• Proven experience in hospital settings with a focus on acute care, ICU experience, or Level I/II trauma centers is highly preferred.
• Strong knowledge of medical terminology, ICD coding (ICD-10/ICD-9), CPT coding, and utilization review processes.
• Background in nursing or social work with experience in behavioral health or managed care is advantageous.
• Familiarity with EMR/EHR systems and discharge planning procedures essential for effective case management.
• Excellent communication skills combined with the ability to coordinate multidisciplinary teams efficiently.
• Ability to handle complex cases involving pediatric patients (including PICU), emergency medicine scenarios, or OR experience is desirable.
• Knowledge of HIPAA compliance standards and patient service principles required for maintaining confidentiality and delivering compassionate care. Join us as a Case Manager where your proactive approach and clinical expertise will directly impact patient recovery journeys! We are committed to supporting your professional growth while fostering a rewarding environment dedicated to excellence in healthcare delivery.

Pay: $39.00 - $43.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Paid training
• Vision insurance

Work Location: In person