Care Coordination & Transitions Specialist

Independence Health System Inc.; Greensburg, Northern (Westmoreland County, KY); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Independence Health System Inc. is seeking a Case Manager to coordinate care, assess patient needs, and ensure safe transitions across care settings. The role emphasizes collaboration with patients, families, and the health care team to promote positive outcomes and prevent readmission.

The position focuses on evidence-based care coordination, discharge planning, and adherence to regulatory requirements to protect patient rights and maintain high-quality care across services.

Responsibilities

• Assesses, plans, coordinates, and monitors and evaluates options for patients, their families, caregivers and the health care team, including providers, to promote effective care coordination outcomes.
• Coordinates alternate levels of care based on the patient's current needs and availability of healthcare resources.
• Creatively resolves complicated disposition issues, utilizing community resources with the integration of the patient's available benefits to achieve a positive outcome.
• Provides information for appropriate referrals to patients and their families, and provides counseling, if needed, on a limited basis.
• Maintains patient rights by adhering to HIPAA, Freedom of Choice, Rights of Reconsideration, QIO, and other regulatory agency requirements.
• Facilitates the flow of care to expedite appropriate discharge and prevent readmission.
• Involves patients and families in goal setting and evaluation health care system.
• Ensures safe and effective transitions of care across settings for patients.
• Case Manager works in collaboration with the Den

Job description

Independence Health System Inc. is seeking a Case Manager to coordinate care, assess patient needs, and ensure safe transitions across care settings. The role emphasizes collaboration with patients, families, and the health care team to promote positive outcomes and prevent readmission.

The position focuses on evidence-based care coordination, discharge planning, and adherence to regulatory requirements to protect patient rights and maintain high-quality care across services.