Case Mgr/Swing Bed Coordinator

MCH - Morris County Hospital; Council Grove (KS); On-site; USD 70,000 - 90,000; Full time

Job summary

MCH - Morris County Hospital is seeking a Case Manager and Swing Bed Coordinator to lead discharge planning, utilization review, care coordination, and the Swing Bed program. The position collaborates with patients, families, providers, nursing, therapy, and payers to promote appropriate admissions and safe transitions.

Essential duties include completing assessments, coordinating services, and monitoring readmissions, with responsibilities spanning MDS coordination and community referrals.

Qualifications

• Current, unrestricted RN license in Kansas or another professional credential appropriate to the duties assigned; RN strongly preferred for clinical utilization review and nursing assessment responsibilities.

Responsibilities

• Complete discharge-planning assessments, coordinate services, facilitate family meetings, and arrange community referrals.
• Conduct 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; escalate 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.

Skills

Case management

Discharge planning

Utilization review

Interdisciplinary collaboration

Payer communication

Education

Bachelor's degree in nursing

Case-management certification preferred

Job description

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.Essential Duties and ResponsibilitiesComplete 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; escalate 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 ResponsibilitiesMaintain 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 QualificationsCurrent, 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 CompetenciesCare coordination; patient advocacy; clinical documentation; relationship development; payer communication; organization; problem solving; service recovery; and interdisciplinary collaboration.Physical and Work ExpectationsAbility 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 StatementThese 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.