Job Summary: The Hospital Case Manager plays a vital role in coordinating patient care within the hospital setting. This position focuses on ensuring that patients receive high-quality, efficient, and cost-effective healthcare services while adhering to all relevant regulations and guidelines. The Case Manager collaborates with healthcare providers, patients, and families to develop and implement care plans that promote positive patient outcomes and facilitate the transition from hospital to post-acute care settings.
Key Responsibilities: Patient Assessment: Conduct comprehensive assessments of patients' medical, social, and psychosocial needs to develop an individualized care plan.
Care Coordination: Collaborate with physicians, nurses, social workers, and other healthcare professionals to ensure that patients receive appropriate and timely care.
Utilization Review: Monitor and evaluate the appropriateness of services and the utilization of resources to optimize patient outcomes while controlling costs.
Discharge Planning: Assist in planning and coordinating patient discharges, including arranging for home healthcare, rehabilitation, or other post-acute services as needed.
Patient Advocacy: Advocate for patients and their families to ensure that their needs and preferences are considered in the care planning process.
Documentation: Maintain accurate and up-to-date electronic health records (EHR) and documentation of all patient interactions and care plans.
Compliance: Stay current with healthcare regulations, policies, and guidelines, ensuring that all practices adhere to legal and ethical standards.
Education: Provide patients and families with information about their conditions, treatment options, and available resources.
Quality Improvement: Participate in quality improvement initiatives to enhance patient care and outcomes.
Interdisciplinary Communication: Foster effective communication and collaboration among healthcare team members to optimize patient care.
Qualifications: Bachelor's degree in Nursing, Social Work, or a related field (Master's degree preferred). State licensure or certification as required (e.g., RN, LSW, LCSW). Minimum of 2-3 years of experience in case management, preferably in a hospital or healthcare setting. Strong clinical assessment skills and knowledge of medical terminology. Excellent communication and interpersonal skills. Ability to work independently and as part of a team. Proficiency in using electronic health record (EHR) systems and other healthcare software. Knowledge of healthcare regulations, including Medicare and Medicaid guidelines. Dedication to patient-centered care and a commitment to advocating for patient needs. Strong organizational and problem-solving abilities.
Benefits:
- Competitive salary and benefits package.
- Opportunities for professional growth and advancement.
- Access to ongoing training and development programs.
- Supportive and collaborative work environment.
- Meaningful work that makes a difference in patients' lives.
