Case Mgr II - Inpatient Pediatrics

University of Vermont Health Network • Burlington, VT

2d • $36 - $54 • Onsite

About The Position

The Case Manager (CM) coordinates the care and services of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and assumes a critical role with an interdisciplinary team to achieve optimal patient-centered, clinical, and resource outcomes. They proactively identify and intervenes to address barriers to treatment, health outcomes, and discharge planning, including biopsychosocial and other high-risk factors. They are an essential link between the patient, the healthcare team, the payer, and the community.

Requirements

• Master's in social work from an accredited school of social work. LICSW preferred.
• OR Current RN licensure or compact licensure recognized by the State of Vermont is required.
• OR Master's degree from an accredited institution in a Health or Human Services field, this can include a Master's degree in Counseling. Licensure preferred.
• OR Bachelor’s of Science or higher degree from an Accredited Occupational Therapy Program. Licensed or eligible to be licensed to practice occupational therapy in the State of Vermont.
• OR Bachelor’s of Science or higher degree from an Accredited Physical Therapy program. Licensed or eligible to be licensed to practice physical therapy in the State of Vermont.
• Minimum of (3) years experience in a clinical setting, including (2) years in a medical setting, preferably a hospital.

Nice To Haves

• Case management accreditation required by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications) preferred.
• (2) years case management experience or a similar role preferred.

Responsibilities

• Apply evidence-based case management practices.
• Conduct comprehensive assessments including medical, psychosocial, and environmental factors.
• Formulate and implement individualized care plans in collaboration with patients, families, and care teams.
• Demonstrate strong verbal and written communication skills.
• Build honest, respectful relationships with patients, families, and interdisciplinary teams.
• Facilitate care conferences and communicate effectively with payers and community partners.
• Exhibit awareness of personal and cultural values, beliefs, and biases.
• Promote diversity and respect across all interactions.
• Tailor care and education to meet the needs of diverse populations.
• Maintain up-to-date knowledge of HIPAA, JCAHO, CMS, and other regulatory requirements.
• Perform utilization reviews using InterQual or equivalent criteria.
• Issue HINNs and IM notices as appropriate.
• Foster a culture of teamwork and mutual respect.
• Demonstrate integrity, compassion, and professionalism.
• Engage in continuous learning and contribute to departmental initiatives.

Benefits

• At UVMMC, we support our employees as passionately as we care for our patients. We offer a comprehensive, total compensation package that includes salary, health and wellness benefits, paid time off, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees