Case Manager

Join a dynamic healthcare team dedicated to providing excellent patient care. The Case Manager plays a critical role in the collaboration, development, implementation, revision, and reporting of the case management program. This position acts as a liaison between the patient, family, nurses, physicians, multidisciplinary team, and the patient’s healthcare benefactor to optimize outcomes.

Job Summary

The Case Manager coordinates a continuum of care for a defined population of patients from pre-admission through post-discharge, ensuring that patients and families efficiently navigate the course of hospitalization.

Education and Work Experience

• Bachelor’s Degree in Nursing (BSN) – Preferred
• Experience in a care management role – Preferred

Licenses/Certifications

• Registered Nurse (RN) licensure in the state of practice – Required
• Case management certification – Preferred

Essential Functions

• Lead the coordination of patient care with various disciplines within the care team, ensuring the appropriateness and timeliness of care.
• Monitor and ensure the interdisciplinary care plan aligns with the patient’s clinical course, ongoing care needs, and covered services.
• Discuss resource utilization, consultations, treatment plans, estimated length of stay, and discharge plans with physicians.
• Focus on managing complex patients, frequent emergency department utilizers, patients with chronic pain, substance abuse issues, and those experiencing homelessness.
• Collaborate with acute care case managers to ensure continuity of care.
• Coordinate patient transfers to tertiary centers, including the transfer of necessary patient information for ongoing treatment and services.
• Provide oversight and collect data for regulatory and accreditation compliance.
• Conduct reviews of frequent emergency department visitors to assess previous and current admissions.
• Perform additional job-related duties as assigned.

Organizational Requirements

Commitment to the safety and wellbeing of associates and patients is paramount. Therefore, all associates are required to receive all necessary vaccinations as a condition of employment and on an annual basis thereafter.