Case Management Coordinator - Inpatient

Job Summary

Essential Job Functions

• Initiate discharge planning upon notification of patient admission.
• Engage patients at inpatient or post-acute facilities and assess discharge readiness.
• Collaborate with Hospitalists, discharge planners, and payer care teams to develop discharge plans.
• Carefully coordinate timely follow-up appointments with PCPs and specialists per discharge instructions.
• Educate patients and families about care instructions, resources, and home-based options.
• Identify and address barriers to safe discharge, including transportation and social needs.
• Document interactions, plans, and care coordination activities in the EMR.
• Maintain oversight of patient outcomes and care effectiveness to interdisciplinary teams.
• Facilitate communication between providers, facilities, and community-based organizations.
• Contribute to process improvement initiatives related to care transitions.

Supervisory Responsibilities

• This position has no supervisory responsibilities.

Required Education

• A high school diploma or equivalent.

Required Experience

• 3 - 5 years of experience in clinical, case management, or community health settings.
• Experience in inpatient discharge planning or care coordination.