Coord Case Mgmt

Chop; Philadelphia (Philadelphia County); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Stipends

Medical

Dental

Vision

401K

Job summary

CHOP is seeking a Coord Case Mgmt to provide clinically focused care coordination and transition management for hospitalized patients. You will coordinate with families, physicians, social workers, payers, and the healthcare team to ensure timely discharge planning.

Responsibilities include developing individualized discharge plans, monitoring progress toward goals, and coordinating post-acute services. A strong background in case management and managed care processes is required.

Qualifications

• Five (5) years of experience in case management or related field.
• Excellent communication and organizational skills.
• Ability to work with CHOP professionals at all levels.
• Ability to work independently or in a team.
• Strong prioritization and productivity standards.
• Knowledge of managed care admission processes.

Responsibilities

• Provide clinically focused care coordination and transition management services.
• Collaborate with patients, families, physicians, social workers, payers, and interdisciplinary teams.
• Develop, implement, and evaluate individualized discharge plans.
• Monitor progress toward discharge goals and coordinate post-acute services.

Skills

Excellent communication

Excellent organizational skills

Ability to work with all departments

Independent work

Customer service orientation

Education

Technical Diploma in Nursing

Bachelor's Degree in Nursing

Tools

Word

Excel

Access

Job description

Job Title: Coord Case Mgmt

LOCAL CANDIDATES ONLY

CONTRACT TO HIRE

Location: Pennsylvania

Job Summary:

The Case Manager provides clinically focused care coordination and transition management services to support safe, efficient, and patient-centered care throughout hospitalization. This role collaborates with patients, families, physicians, social workers, payers, and interdisciplinary team members to facilitate timely progression of care and address barriers to discharge. The Case Manager develops, implements, and evaluates individualized discharge plans to ensure appropriate transitions across the continuum of care. Responsibilities include monitoring patient progress toward discharge goals, communicating payer authorization determinations, and coordinating post-acute services and community resources. The Case Manager utilizes risk stratification tools to identify high-risk patients, reduce delays in care, prevent avoidable readmissions, and promote successful patient outcomes and transitions.

Required Qualifications:

• At least five (5) years of experience.
• Excellent communication skills and demonstrated organizational skills.
• Ability to work effectively with all departments and all levels of CHOP professionals.
• Ability to work independently or within a team structure.
• Must be very organized and able to work independently.
• Ability to establish priorities among multiple needs, meet deadlines, and maintain standards of productivity.
• Knowledge of managed care admission process (e.g., verification of benefits, admissions notification).
• Ability to effectively negotiate with internal and external providers of patient care services.
• Sound problem-solving skills.
• Excellent customer service orientation and strong interpersonal skills.
• Computer skills and a working knowledge of Word, Excel, and Access.

Preferred Qualifications:

• Previous experience with discharge planning or home care experience.
• Prior experience as a Case Manager or Utilization Reviewer.
• Previous experience in a pediatric setting or similar adult setting.

Required Education:

• Technical Diploma in Nursing.

Preferred Education:

• Bachelor's Degree in Nursing.

Required Certifications & Licensure:

• Registered Nurse (Pennsylvania) Pennsylvania State Licensing Board upon hire.

Preferred Certifications & Licensure:

• Accredited Case Manager (ACM) American Case Management Association (ACMA) upon hire.
• Certified Case Manager (CCM) Commission for Case Manager Certification upon hire.

RightSourcing (a part of Magnit) expected pay package may vary and/or include certain benefits like: Stipends (for clinical traveler workers only), Medical, Dental, Vision, 401K