Case Manager

MedCura Health, Inc.; Stone Mountain (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

MedCura Health, Inc. in Stone Mountain, Georgia is seeking a Case Manager to support patients across multiple healthcare specialties. The role involves coordinating care, facilitating access to services, and ensuring continuity in patient journeys. Candidates must have an active LPN license in Georgia and 2+ years of experience in care coordination or nursing. Responsibilities include developing care plans, monitoring patient progress, and maintaining accurate documentation in EMR systems. Strong communication and organizational skills are essential.

Qualifications

• Must have an active LPN license in Georgia.
• At least 2 years of experience in outpatient care coordination.
• Familiarity with EMR systems is required.

Responsibilities

• Assess patient needs and develop care plans with providers.
• Coordinate referrals and monitor patient progress.
• Maintain documentation in the Electronic Health Record (EHR).
• Ensure compliance with healthcare guidelines.

Skills

Communication skills

Organizational skills

Leadership

Customer service skills

Phone etiquette

Education

Active Licensed Practical Nurse (LPN) license in Georgia

2+ years in outpatient care coordination, case management, or nursing

Tools

EMR systems

Job description

Overview

The Case Manager plays a vital role in supporting patients across multiple specialties by coordinating care, facilitating access to services, and ensuring continuity throughout the healthcare journey. Working under the direction of the Director of Clinical Quality, this position helps bridge gaps in care, reduce barriers, and promote patient-centered outcomes.

Qualifications

• Active Licensed Practical Nurse (LPN) license in the state of Georgia.
• 2+ years of experience in outpatient care coordination, case management, or nursing.
• Familiarity with EMR systems and documentation standards.
• Experience in a multi-specialty or community health setting.
• Knowledge of Medicaid/Medicare and commercial insurance processes.
• Excellent communication, organizational, leadership, and customer service skills.
• Excellent phone etiquette.

Responsibilities

• Assess patient needs and develop individualized care plans in collaboration with providers and clinical teams.
• Coordinate referrals, follow-ups, and transitions between specialties and external services.
• Monitor patient progress and proactively address gaps in care or barriers to treatment.
• Maintain accurate and timely documentation in the Electronic Health Record (EHR).
• Ensure compliance with federal, state, and organizational guidelines, including company and regulatory standards.
• Track and report patient outcomes, service utilization, and care plan adherence.
• Serve as a liaison between patients, providers, referral coordinators, and external agencies.
• Participate in department team meetings to review complex cases and align care strategies.
• Communicate effectively with patients to provide education, support, and advocacy.
• Assist in collecting and analyzing data related to care coordination and patient outcomes.
• Support quality improvement initiatives led by the Director of Clinical Quality.
• Contribute to departmental goals by working referral, prior authorization, and refill queues in the EHR when needed.
• Conduct patient intake and clinical triage, assessing presenting concerns, and promptly consulting with providers when expanded clinical guidance or urgent care decisions are needed.