Coord Case Mgmt

Location: Pennsylvania | Contract to hire | Local candidates only

About the role

The Case Manager provides clinically focused care coordination and transition management services to support safe, efficient, and patient-centered care throughout hospitalization. This role collaborates with patients, families, physicians, social workers, payers, and interdisciplinary team members to facilitate timely progression of care and address barriers to discharge. The Case Manager develops, implements, and evaluates individualized discharge plans to ensure appropriate transitions across the continuum of care.

Responsibilities

• Monitor patient progress toward discharge goals
• Communicate payer authorization determinations
• Coordinate post-acute services and community resources
• Utilize risk stratification tools to identify high-risk patients
• Reduce delays in care and prevent avoidable readmissions
• Promote successful patient outcomes and transitions

Required Qualifications

• At least five (5) years of experience
• Excellent communication skills and demonstrated organizational skills
• Ability to work effectively with all departments and all levels of CHOP professionals
• Ability to work independently or within a team structure
• Must be very organized and able to work independently
• Ability to establish priorities among multiple needs, meet deadlines, and maintain standards of productivity
• Knowledge of managed care admission process (e.g., verification of benefits, admissions notification)
• Ability to effectively negotiate with internal and external providers of patient care services
• Sound problem-solving skills
• Excellent customer service orientation and strong interpersonal skills
• Computer skills and a working knowledge of Word, Excel, and Access

Preferred Qualifications

• Previous experience with discharge planning or home care experience
• Prior experience as a Case Manager or Utilization Reviewer
• Previous experience in a pediatric setting or similar adult setting

Required Education

• Technical Diploma in Nursing

Preferred Education

• Bachelor's Degree in Nursing

Required Certifications & Licensure

• Registered Nurse (Pennsylvania) Pennsylvania State Licensing Board upon hire

Preferred Certifications & Licensure

• Accredited Case Manager (ACM) American Case Management Association (ACMA) upon hire
• Certified Case Manager (CCM) Commission for Case Manager Certification upon hire

Benefits

• Stipends (for clinical traveler workers only)
• Medical
• Dental
• Vision
• 401K