Case Mgr II - Inpatient Pediatrics

UVM Medical Center • Burlington, VT

2d • $36 - $54 • Onsite

About The Position

The Case Management and Social Work team at UVM Medical Center is seeking a Case Manager II! This position will work with our Inpatient Pediatric team. Please Note: This is an onsite position at UVM Medical Center in Burlington, VT. JOB DESCRIPTION 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

• Coordinates the care and services of selected patient populations across the continuum of illness
• Promotes effective utilization and monitoring of health care resources
• Assumes a critical role with an interdisciplinary team to achieve optimal patient-centered, clinical, and resource outcomes
• Proactively identify and intervenes to address barriers to treatment, health outcomes, and discharge planning, including biopsychosocial and other high-risk factors
• 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