Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
Core
Coordinate patient care, utilization management, and discharge planning to enhance clinical outcomes and manage care costs.
Role type
Case Manager / Care Coordinator
Builds
Patient care plans and discharge pathways
Domain
Healthcare / Utilization Management
Deliverable
client delivery
Required skills
Utilization management, discharge planning, care coordination, payer authorization, clinical documentation review, performance improvement analysis, conflict resolution, data-driven decision making
Preferred skills
Knowledge of InterQual criteria, experience with Medicare One-Day admissions, familiarity with Affinity GUI system
Technologies
Affinity GUI
Responsibilities
Facilitate pre-certification and payer authorization processes; manage patient caseloads and length of stay; coordinate multidisciplinary discharge planning; monitor resource utilization and readmission rates; resolve barriers to timely care delivery; document care plans and utilization reviews; communicate with physicians, patients, and payers.
Seniority
Individual Contributor
