Case Manager

2 days ago


Colonial Heights, Virginia, United States ChenMed Full time
Job Title: Case Manager

We're seeking a highly skilled and compassionate Case Manager to join our team at ChenMed. As a Case Manager, you will play a critical role in enhancing the quality of patient management and satisfaction, promoting continuity of care and cost effectiveness through the integration of case management, utilization review, and discharge planning.

Key Responsibilities:
  • Coordinate the integration of social services and case management functions into patient care, discharge, and home planning processes with other departments, external service organizations, agencies, and healthcare facilities.
  • Conduct concurrent medical record review using specific indicators and criteria as approved by medical staff.
  • Act as a patient advocate, investigating and reporting adverse occurrences and performing staff education related to resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.
  • Promote effective and efficient utilization of clinical resources and mobilize resources to assist in achieving desired clinical outcomes within specific timeframes.
  • Conduct review for appropriate utilization of services from admission through discharge, evaluating patient satisfaction and quality of care provided.
  • Communicate with physicians at regular intervals throughout hospitalization and develop an effective working relationship.
  • Assist physicians in maintaining appropriate cost, case, and desired patient outcomes.
Requirements:
  • Associate degree in Nursing required.
  • Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in a related clinical field preferred.
  • Valid, active Registered Nurse (RN) license in State of employment required.
  • Minimum of 2 years' clinical work experience required.
  • Minimum of 1 year of case management experience in community case management experience highly desired.
Preferred Qualifications:
  • Certified Case Manager certification is preferred.
  • Knowledge of case management principles, healthcare management, and reimbursement.
  • Strong written and verbal communication skills; presentation skills.
  • Ability to convey medical terms and treatment plans so they are understood by patients and their caregivers.

We offer a comprehensive benefits package, career development opportunities, and a dynamic work environment. If you're passionate about delivering exceptional patient care and making a difference in the lives of our patients and their families, we encourage you to apply.


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