Job Summary
We are seeking a dynamic and compassionate Case Manager to join our dedicated healthcare team. In this vital role, you will coordinate comprehensive patient care plans, facilitate communication across multidisciplinary teams, and ensure seamless discharge planning. Your expertise will help improve patient outcomes, optimize resource utilization, and support individuals from diverse backgrounds through personalized case management strategies. This position offers an exciting opportunity to make a meaningful difference in patients’ lives while working within a collaborative, fast-paced environment committed to excellence.
Duties
- Conduct thorough patient assessments, including medical history review and social determinants of health to develop tailored care plans.
- Coordinate with healthcare providers, social services, and community resources to ensure comprehensive support for patients.
- Manage utilization review and utilization management processes to optimize hospital stays and outpatient services.
- Facilitate discharge planning by arranging follow-up care, home health services, or hospice care as appropriate.
- Document all case management activities accurately within EMR (Electronic Medical Record) and EHR (Electronic Health Record) systems while adhering to HIPAA regulations.
- Communicate effectively with patients and their families, providing education on medical terminology, treatment options, and available social services.
- Monitor patient progress and maintain accurate documentation.
- Educate patients about treatment plans and available services.
- Perform otehr administrative duties as assigned
- Utilize critical care experience, hospital experience, and knowledge of CPT coding, ICD-9/10 coding to support clinical documentation and billing processes.Experience
- Proven experience in medical field case management or utilization review
- Strong background in medical, nursing or social work with familiarity in behavioral health, adult day care, hospice care, and discharge planning.
- Demonstrated expertise in working with managed care organizations and understanding health insurance policies.
- Proficiency in EMR/EHR systems and Microsoft Office tools for documentation and communication purposes.
- Knowledge of medical terminology, ICD coding (ICD-9/10), CPT coding, ICD-9/10 coding for accurate clinical documentation.
- Experience working with individuals from diverse cultural backgrounds with sensitivity and professionalism.
- Excellent client communication skills with the ability to handle intake processes effectively in fast-paced environments such as emergency medicine or hospital medicine units.
- Bilingual abilities are a plus to serve a broader patient population effectively.
- Preferred 4 years experience
Join us as a Case Manager and be part of a passionate team dedicated to delivering exceptional patient-centered care!
Pay: $55,000.00 per year
Work Location: In person
