Hospital Case Manager - Part Time

About the role

This position involves coordinating patient care among physicians, staff, and external providers, developing care and discharge plans, and monitoring clinical activities. The role includes performing utilization reviews, ensuring appropriate levels of care, and facilitating communication with multidisciplinary teams. It also involves educating healthcare team members on cost containment and care protocols, and providing patient and family support regarding care provisions.

Responsibilities

• Conducts daily utilization reviews to assess care appropriateness and readiness for discharge, escalating unresolved issues.
• Monitors patient care progression, collaborates on discharge planning, and ensures continuity of outside services.
• Develops and evaluates care guidelines, identifies opportunities for cost savings, and supports quality improvement initiatives.
• Maintains effective relationships with community facilities and stays updated on healthcare regulations.
• Provides direct patient care as needed, maintaining clinical competency and adhering to legal and policy standards.

Qualifications

Required:

• Four years of acute/sub-acute inpatient care experience.
• One year of Care Management experience or completion of a related internship.
• Bachelor’s degree in nursing or equivalent experience.
• Registered Nurse license and Basic Life Support certification.

Preferred:

• Minimum two years in Care Management.
• Master’s degree in healthcare or related field.
• Professional certification in Case Management.

Skills

• Proficiency in PC applications and data analysis skills.