Case Manager, Registered Nurse (RN) or MSW
About the role
The Case Manager is responsible for the collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have a coordinated continuum of care in accordance with JCAHO and hospital guidelines and serves as liaison for the interdisciplinary team, the patient, and family to ensure a timely, smooth, and clinically appropriate care planning process. The Case Manager also maintains communications with the payor at the time of admission and throughout the hospitalization to ensure necessary approvals for care and clarification of benefits. They facilitate retrospective reviews and approvals for care whenever necessary, and they implement and coordinate discharge plans utilizing available and appropriate community resources.
Education
- Graduation from an accredited school of social work, nursing, or a related field or equivalent is required.
Experience
- Five years of experience in the healthcare field is preferred.
- Experience in Case Management is preferred.
Certification/Licensure
- None.
Benefits
- Comprehensive benefits package, including medical, dental, and vision coverage (subject to eligibility requirements).
- Additional wellness and retirement benefits designed to support employees and their families.
Pay
The compensation offered for this position—whether expressed as an annual salary or hourly rate—is determined based on a variety of legitimate, non-discriminatory factors. These factors include, but are not limited to, a candidate’s qualifications, relevant training and experience, skill level, shift differentials (where applicable), internal equity, and current market conditions. The posted hiring range reflects the range VHC Health, in good faith, believes is appropriate for this role at the time of posting. This range may be adjusted in the future based on business needs or market changes.