Manager - Case Management

About the role

This role oversees and coordinates case management and discharge planning to ensure high-quality, efficient patient care that complies with regulatory standards.

Responsibilities

• Collaborate with multidisciplinary teams to optimize patient flow
• Ensure adherence to payer guidelines
• Manage discharge processes

Qualifications

• Minimum of three years of case management experience
• At least two years in a leadership role
• Nursing degree (RN or BSN)
• Certification in Case Management is preferred

Skills

• Strong critical thinking
• Effective verbal and written communication
• Decisive judgment
• Proficiency with hospital information systems
• Knowledge of regulations and guidelines such as Interqual or Milliman
• Process improvement and performance monitoring
• Clinical decision-making based on medical criteria
• Ability to work independently in a stressful environment