Case Manager - Care Coordination - Days

Memorial Hospital at Gulfport • Gulfport, MS

1d

About The Position

Coordinates the efforts of patients, families, and healthcare professionals to develop a plan of care across the continuum based on identified needs. Reviews and assesses the appropriateness of patient admissions and continued stays in accordance with established policies and procedures.

Requirements

• Clinical experience as a registered nurse in an acute care facility.
• Excellent customer service and communication skills.
• Strong organizational and problem-solving skills.
• Advanced statistical and spreadsheet/database application skills.

Nice To Haves

• Knowledge of advanced quality management, utilization management, case management, and/or DRG documentation compliance principles.

Responsibilities

• Ensures implementation of the prescribed plan of care in collaboration with the patient, family, and healthcare providers.
• Coordinates care and services across the continuum, working directly with patients and families, healthcare providers, staff, and payers.
• Evaluates and communicates patient progress toward established outcomes.
• Coordinates multidisciplinary discharge planning to assess current and discharge needs.
• Evaluates patient satisfaction and the quality of care provided.
• Provides post-discharge follow-up to ensure progress of the discharge plan.
• Promotes quality and cost-effective interventions, resources, and outcomes using a multidisciplinary team approach.
• Reviews and determines the necessity and appropriateness of hospitalization using established criteria to prevent payment denials.
• Refers appropriate cases to the physician advisor for intervention.
• Serves as a liaison with healthcare providers, admissions, and medical records staff to ensure continuity of patient care, discharge planning, and effective communication.
• Arranges appropriate referrals for counseling, financial assistance, and discharge planning assistance as needed.
• Assists with collection, delivery, and tracking of information for Performance Improvement, Risk Management, and Infection Control.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree