Facility - Case Management Coordinator

Harboroaks; Beaver Brook Apartments (DE); On-site; USD 52,000 - 70,000; Full time

Job summary

Meadowwood Hospital seeks a Case Manager Coordinator to coordinate discharge planning and ensure continuity of care across the treatment team. You will advocate for patient needs and support safe transitions while complying with regulatory standards.

You will review initial information, develop care plans, and liaison with insurance providers and the business office as needed to optimize patient outcomes.

Qualifications

• Bachelor’s degree in Health Administration, Social Science or related field.
• Ability to liaise with community agencies to ensure continuity of care.
• Knowledge of mental health and substance use is preferred.

Responsibilities

• Ensure admission criteria are met and review information from admission to discharge.
• Develop and monitor individual care plans; collect data and review documentation.
• Coordinate care by tracking and reporting on inpatient/outpatient services.
• Apply knowledge to coordinate cases for the patient population at the facility.
• Share medical criteria between insurance providers and the treatment team as needed.
• Perform precertification with payers and negotiate approved days.
• Assign tasks for admission/review and participate in discharge planning.

Skills

Professional liaison

Mental health knowledge

Substance use knowledge (preferred)

Education

Bachelor’s degree in Health Administration

Bachelor’s degree in Social Science

Related field or relevant experience

Job description

Overview

PURPOSE STATEMENT:

The Case Manager Coordinator is responsible for coordinating and facilitating comprehensive discharge planning and continuity of care for patients at Meadowwood Hospital. This role partners closely with the interdisciplinary treatment team to ensure patients receive appropriate, timely, and clinically appropriate services across the continuum of care. The Case Manager Coordinator advocates for patient needs, supports safe transitions, and promotes optimal outcomes while ensuring compliance with regulatory, accreditation, and hospital standards.

Responsibilities

ESSENTIAL FUNCTIONS:

• Assure residents meet criteria for admission, and review initial clinical information through discharge.


• Monitor and manage client/patient/resident’s cases through development and implementation of individual care plans, collecting clinical data and remain informed by continuous review of documentation.


• Coordinate care by tracking, monitoring, and reporting on inpatient or outpatient care.


• Manage client/patient/resident’s cases with knowledge and expertise with the patient population of the facility.


• Convey medical criteria and clinical information between the client/patient/residents’ insurance provider and treatment team as warranted and may also provide this information to the business office, as needed.

• Conduct precertification with third party payers and negotiate approved days with the provider for the patient/resident admission.


• Assigned tasks for admission review, concurrent review and participate in discharge planning.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s degree in Health Administration, Social Science or a related field or relevant previous job experience required.


• Ability to create and maintain professional liaison with community agencies and organizations to ensure continuity of care.


• Knowledge of mental health and substance use fields is preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).

• • First aid may be required based on state or facility.

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