ER Care Manager: Coordinated Care & Discharge Lead

Mlk-Community-Healthcare-; California (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

MLK Community Healthcare in Los Angeles seeks a Case Manager to support physicians and the care team by coordinating utilization review, discharge planning, and care transitions to improve outcomes and patient satisfaction while controlling costs.

The role encompasses assessments, planning, implementation, and collaboration with payors, physicians, and social services to ensure timely care and regulatory compliance across the patient’s hospital stay.

Qualifications

• Bachelor of Science degree in nursing preferred.
• 1–3 years hospital or related experience required; internal candidates with 18 months may be considered.
• Able to navigate and connect with outside provider networks (Health Plans, IPA’s, and FQHC’s).
• Bilingual language skills preferred (Spanish).
• Current Basic Life Support (BLS) certification; Case Management certification preferred.

Responsibilities

• Completes a comprehensive assessment to identify opportunities for intervention that are appropriate and realistic for the patient/family’s plan of care.
• Assess the patient’s healthcare needs and goals; targeting physical, functional, psychosocial, environmental and financial status.
• Communicates with attending physician regarding appropriateness of patient admissions and resource utilization.
• Demonstrates understanding of medical necessity and discharge planning requirements in development of transition plans.
• Collaborates with the interdisciplinary team to re-assess and adjust the plan for care progression and transitions.

Skills

Bilingual Spanish

Communication skills

Collaboration

Education

Bachelor of Science degree in nursing preferred

Tools

Basic computer skills

Job description

MLK Community Healthcare in Los Angeles seeks a Case Manager to support physicians and the care team by coordinating utilization review, discharge planning, and care transitions to improve outcomes and patient satisfaction while controlling costs.

The role encompasses assessments, planning, implementation, and collaboration with payors, physicians, and social services to ensure timely care and regulatory compliance across the patient’s hospital stay.