Senior Complex Care Manager & Discharge Lead

Health Partners Plans; Philadelphia (Philadelphia County); On-site; USD 90,000 - 110,000; Full time

Job summary

Albert Einstein Medical Center in Philadelphia seeks a Complex Care Manager to serve as regional liaison to the Care Management Department and, when needed, assume the primary Care Manager role.

The role supports complex patients with barriers to discharge, coordinating with guardianship, behavioral health, homelessness, and other psychosocial needs, guiding care plans, and ensuring safe transitions across the care continuum.

Qualifications

• Master's degree in Social Work required.
• 3 years inpatient Care Management experience in an acute care setting.
• Ability to work independently and coordinate care plans efficiently.

Responsibilities

• Coordinate family and interdisciplinary meetings to promote care progression.
• Collaborate with admitting and ED physicians and hospital staff to support high-risk discharge planning.
• Provide consultation for patients with complex psychosocial needs and make referrals to related teams.
• Work with Care Management to monitor progress of discharge plans and resolve challenges.
• Facilitate patient movement to alternate levels of care and participate in Care Progression Rounds.

Skills

Independent work

Interpersonal skills

Care coordination

Organizational skills

Education

Master's Degree in Social Work

Job description

Albert Einstein Medical Center in Philadelphia seeks a Complex Care Manager to serve as regional liaison to the Care Management Department and, when needed, assume the primary Care Manager role.

The role supports complex patients with barriers to discharge, coordinating with guardianship, behavioral health, homelessness, and other psychosocial needs, guiding care plans, and ensuring safe transitions across the care continuum.