Job Description Summary
The Case Manager is responsible for proactive Acute/Post Acute care coordination and discharge planning, partnering with hospital and post-acute care management teams to ensure safe, timely, and efficient transitions of care.
The Case Manager operates within a structured model alongside utilization management and post-acute services with defined outreach cadences, escalation pathways, and collaboration across interdisciplinary teams.
How will you make an impact & Requirements
- Proactively manage inpatient, observation and post-acute cases with a focus on high‑risk and readmission‑prone populations.
- Partners with hospital/post-acute Case Managers and Discharge Planners to align on clinical status, discharge plans, and barriers to timely discharge.
- Coordinate post-acute services, including Home Health, DME, SND, IRF, LRACH and subacute care, in collaboration with Care Coordinators and post-acute teams.
- Conduct ongoing outreach to hospital and post-acute teams to support discharge progression and resolve barriers.
- Perform clinical reviews to assess medical necessity and discharge readiness; facilitate escalation and peer‑to‑peer discussions as needed.
- Participate in interdisciplinary rounds and contribute to case reviews focused on discharge efficiency and length‑of‑stay management.
- Serve as a liaison between hospital systems, health plan partners, and post‑acute providers.
Compensation:
$26.62
to
$39.93