Case Manager: Discharge & Care Coordination

WVU Medicine; Bridgeport (WV); On-site; USD 70,000 - 90,000; Full time

Job summary

United Hospital Center in Bridgeport, WV, is seeking a Case Manager to lead transition and discharge planning for designated patient populations. This full-time role involves coordinating care across the multidisciplinary team, ensuring timely and patient-centered plans, and facilitating post-acute referrals.

Requires RN licensure and 3 years of clinical experience; BSN preferred. Exempt, Day shift, 36 hours per week.

Qualifications

• Current RN license issued by the state where services are provided.
• Minimum of three years of clinical experience.

Responsibilities

• Manages transition/discharge planning for assigned patients in a timely manner.
• Collaborates with the multidisciplinary team to facilitate transition/discharge.
• Monitors patient progress; ensures plan of care is patient-focused and cost-effective.
• Educates staff, physicians, patients, and families to ensure effective transition planning.
• Meet with patient/family to assess needs and develop an individualized transition plan.
• Communicates complex family dynamics to the team impacting patient care.
• Initiates referrals to post-acute services (homecare, DME, hospice, SNFs, etc).
• Conveys transition/discharge plan details to team, patient, and family.
• Documents interactions and progress per department policy.
• Assists with power of attorney, healthcare surrogate, and advance directives.
• Coordinates resources and financial assistance as needed.
• Uses quality screens to identify delays and readmissions.
• Completes clinical reviews for patients.
• Applies utilization criteria to verify medical necessity.
• Screens for authorization and level of care.
• Facilitates reimbursement certification and payroll payor discussions as needed.
• Educates staff/physicians on payer regulations and managed care.
• Supports integration of staff and students into the care team.

Skills

Case management

Care coordination

Interdisciplinary collaboration

Education

Registered Nurse (RN) license

BSN (preferred)

Job description

United Hospital Center in Bridgeport, WV, is seeking a Case Manager to lead transition and discharge planning for designated patient populations. This full-time role involves coordinating care across the multidisciplinary team, ensuring timely and patient-centered plans, and facilitating post-acute referrals.

Requires RN licensure and 3 years of clinical experience; BSN preferred. Exempt, Day shift, 36 hours per week.