Nurse Case Manager Care Coordination Part Time Days
Core
Coordinates patient care from admission through discharge, ensuring appropriate levels of care and cost-effective treatment within an acute hospital setting.
Role type
Nurse Case Manager (Care Coordination)
Builds
Seamless patient transitions across the continuum of care
Domain
Healthcare / Acute Care / Utilization Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Patient assessment, care planning, interdisciplinary collaboration, utilization management, discharge planning, insurance verification, resource coordination
Preferred skills
Utilization review experience, case management certification, insurance setting experience, bilingualism
Technologies
Milliman criteria, electronic health records (implied via 'available tools')
Responsibilities
Assess and plan patient care in collaboration with physicians and families; coordinate bed placement and patient flow; perform utilization management reviews against approved criteria; communicate with third-party payers to minimize denials; identify high-risk patients and initiate referrals; ensure discharge plans align with clinical needs and covered services.
Seniority
Entry to Mid-level, hands-on IC