Case Manager/Swing Bed

Morris County Hospital; Council Grove (KS); On-site; USD 75,000 - 95,000; Full time

Job summary

Morris County Hospital in Council Grove, KS seeks an experienced Case Manager and Swing Bed Coordinator to lead discharge planning, utilization review, care coordination, and the Swing Bed program. You will collaborate with patients, families, providers, nursing, therapy, community partners, and payers to promote appropriate admissions, safe transitions, and efficient throughput.

Applicants should hold an RN license (unrestricted) and a BA/BS in nursing or related field; case-management

Qualifications

• Current, unrestricted RN license in Kansas; RN strongly preferred for clinical utilization review and nursing assessment responsibilities.
• Bachelor’s degree in nursing, social work, healthcare administration, or a related field preferred.
• Experience in case management, discharge planning, utilization review, post-acute care, or Swing Bed operations preferred.
• Knowledge of medical necessity, payer processes, community resources, advance directives, and interdisciplinary care planning.
• Case-management certification preferred.

Responsibilities

• Lead discharge planning, utilization review, care coordination, and Swing Bed program.
• Collaborate with patients, families, providers, nursing, therapy, community partners, and payers to promote appropriate admissions, safe transitions, efficient throughput, and continuity of care.
• Complete discharge-planning assessments, coordinate services, facilitate family meetings, and arrange community referrals.
• Monitor barriers to care, readmission risk, and transition needs; accelerate concerns promptly.
• Maintain referral relationships with surgery centers and post-acute providers; support outreach materials.

Education

RN license

Bachelors degree in nursing

Bachelors degree in social work

Bachelors degree in healthcare administration

Case-management certification

Job description

Job Details: Job Location: Council Grove, KS 66846, Position Type: Full Time, Education Level: 4 Year Degree, Travel Percentage: None, Job Shift: Day, Job Category: Health Care, The Case Manager and Swing Bed Coordinator leads discharge planning, utilization review, care coordination, and the Swing Bed program. The position works with patients, families, providers, nursing, therapy, community partners, and payers to promote appropriate admissions, safe transitions, efficient throughput, and continuity of care.

Qualifications: Essential Duties and Responsibilities

• Complete discharge-planning assessments, coordinate services, facilitate family meetings, and arrange community referrals.
• Conduct or coordinate medical-necessity, observation-status, and length-of-stay reviews within assigned authority.
• Manage Swing Bed referrals, eligibility review, admissions coordination, interdisciplinary care planning, and MDS coordination.
• Monitor barriers to care, avoidable delays, readmission risk, and transition needs; accelerate concerns promptly.
• Maintain active referral relationships with surgery centers, surrounding hospitals, post-acute providers, and community organizations.
• Develop and update outreach materials for communities and referral partners.
• Support diabetes education and a diabetes support group in collaboration with qualified clinical educators.

Regulatory and Quality Responsibilities

• Maintain compliance with discharge-planning requirements, advance-directive processes, Swing Bed eligibility, utilization review, and documentation standards.
• Track and improve readmissions, throughput, transition outcomes, patient satisfaction follow-up, and referral performance.
• Maintain accurate, timely, confidential records and support audits, surveys, and corrective-action activities.
• Collaborate with nursing and quality leaders to identify trends and strengthen care transitions.

Minimum Qualifications

• Current, unrestricted Registered Nurse license in Kansas or another professional credential appropriate to the duties assigned; RN strongly preferred for clinical utilization review and nursing assessment responsibilities.
• Bachelor’s degree in nursing, social work, healthcare administration, or a related field preferred.
• Experience in case management, discharge planning, utilization review, post-acute care, or Swing Bed operations preferred.
• Knowledge of medical necessity, payer processes, community resources, advance directives, and interdisciplinary care planning.
• Case-management certification preferred.

Core Competencies Care coordination; patient advocacy; clinical documentation; relationship development; payer communication; organization; problem solving; service recovery; and interdisciplinary collaboration.

Physical and Work Expectations Ability to work in office and patient-care settings, communicate with patients and families, coordinate across multiple services, and perform the essential functions of the position with or without reasonable accommodation.

General Employment Statement These descriptions identify the primary responsibilities of each position and are not an exhaustive list of all duties. Responsibilities may be revised to meet operational, regulatory, and patient-care needs. Employees must comply with hospital policy, confidentiality requirements, safety standards, assigned competencies, and applicable scope-of-practice requirements.