Facility - Case Management Coordinator

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.

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.

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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