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Care Manager

2 months ago


Harrisburg, Pennsylvania, United States University of Pittsburgh Medical Center Full time
Job Summary

We are seeking a skilled Care Manager to join our Cardiac Team at the University of Pittsburgh Medical Center. As a Care Manager, you will play a critical role in coordinating the clinical and financial plan for patients, ensuring seamless transitions and optimal outcomes.

Key Responsibilities
  • Coordinate patient care plans, ensuring timely and effective transitions between hospital and post-acute settings.
  • Collaborate with multidisciplinary teams, including physicians, nurses, and social workers, to develop and implement comprehensive care plans.
  • Conduct daily reviews of patient medical records to ensure accurate level of care determinations and facilitate timely discharges.
  • Develop and maintain relationships with patients, families, and caregivers to ensure informed decision-making and optimal care outcomes.
  • Stay up-to-date on regulatory requirements, payer policies, and industry best practices to ensure compliance and quality care.
Requirements
  • Graduate of an accredited school of nursing.
  • Two years of nursing experience, with a focus on case management or care coordination.
  • BSN or related Bachelor's degree preferred.
  • Knowledge of healthcare financial and payor issues, as well as state, local, and federal programs.
  • Use of InterQual criteria and other industry-standard tools.
What We Offer
  • A dynamic and supportive work environment, with opportunities for professional growth and development.
  • A competitive salary and benefits package, including comprehensive health insurance and retirement plans.
  • The chance to make a meaningful difference in the lives of patients and families, while contributing to the advancement of healthcare excellence.