Care Transitions & Discharge Manager

Outcome HC; Beachwood (OH); On-site; USD 55,000 - 75,000; Full time

Job summary

Outcome HC is seeking a dedicated Case Manager for a group of skilled nursing facilities. The role focuses on discharge planning, transition management, patient satisfaction, and readmission prevention, starting on admission and continuing through discharge.

You will work with the interdisciplinary team, patients and families to develop personalized transition plans, coordinating services such as transportation and home health, and participate in weekly utilization review meetings.

Qualifications

• At least 1 year full time experience in a sub-acute care setting.
• Familiar with hospital resources, community resources, and/or resource/utilization management.
• Care coordination, case management, discharge planning and/or utilization review experience.
• Effective decision-making /problem-solving skills, demonstration of creativity in problem-solving, and influential leadership skills.
• Excellent verbal, written and presentation skills.
• Moderate to expert computer skills.

Responsibilities

• Discharge planning and denial prevention, transition management to promote appropriate length of stay and prevent readmissions.
• Establish collaborative relationships with inter-disciplinary team, patients and families to develop comprehensive transition plans from admission to discharge.
• Assist clients in arranging services including transportation, housing, home health care services and other services as needed.
• Provide education and identify community resources for residents/clients.
• Represent campus and ensure continuity of care post-hospitalization up until discharge, coordinating with home health agencies, long-term care, medical transport, etc.
• Attend weekly utilization review meetings and monitor patient throughput.
• Implement and monitor processes to prevent payer disputes.
• Refer cases identified as risk management issues, peer review issues, or quality issues to appropriate team members.
• Monitor patient and family satisfaction; participate in departmental quality initiatives.
• Maintain clear communication with internal and external customers.

Skills

Care coordination

Case management

Discharge planning

Utilization review

Decision-making

Communication skills

Computer skills

Multitasking

Job description

Outcome HC is seeking a dedicated Case Manager for a group of skilled nursing facilities. The role focuses on discharge planning, transition management, patient satisfaction, and readmission prevention, starting on admission and continuing through discharge.

You will work with the interdisciplinary team, patients and families to develop personalized transition plans, coordinating services such as transportation and home health, and participate in weekly utilization review meetings.