Care Coordination Case Manager: Discharge & Transitions

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 70,000 - 100,000; Full time

Job summary

Phoenix Children\u2019s Hospital, Inc. in Phoenix, AZ is seeking a Case Manager to provide comprehensive care coordination for patients, assess plans of care, manage length of stay and discharge planning, and advocate for patients and families within the care continuum.

You will work with the interdisciplinary team to develop and monitor a discharge plan, utilize MCG guidelines, review payer denials, and ensure timely transition across inpatient and outpatient services, delivering high-quality

Responsibilities

• Manages a defined service line patient population to achieve optimal discharge and continuity of care outcomes.
• Establishes estimated Length of Stay via MCG criteria and tools.
• Completes an initial screen of all patients on admission within 24 hours using MCG criteria.
• Coordinates development and implementation of a comprehensive discharge care plan with the clinical care team.
• Ensures plan of care is in place with all team members; documents variances to impact length of stay.
• Facilitates and communicates with patient/family and escalates barriers to timely discharge.
• Reviews third‑party payer denials for in‑house patients and communicates with physicians and management per protocols.
• Maintains effective communication with the interdisciplinary care team and patients/families across the continuum of care.
• Monitors patient status daily and communicates goal length of stay to the care team and family.
• Keeps discharge information current in the EMR; assesses status and barriers to transition of care.
• Participates in interdisciplinary rounds and/or service line rounds with the clinical care team.
• Assures thorough transition/discharge plans with patients, families, payers and providers across the continuum.

Job description

Phoenix Children\u2019s Hospital, Inc. in Phoenix, AZ is seeking a Case Manager to provide comprehensive care coordination for patients, assess plans of care, manage length of stay and discharge planning, and advocate for patients and families within the care continuum.

You will work with the interdisciplinary team to develop and monitor a discharge plan, utilize MCG guidelines, review payer denials, and ensure timely transition across inpatient and outpatient services, delivering high-quality