Hospital Case Manager
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Job Location:
Lecanto, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
8 hours ago
Vacancies:
1 Vacancy
Job Summary
We are seeking a Hospital Case Manager to support our primary care practice and value-based care programs Medicare and Medicare Advantage populations. The Case Manager will be responsible for hospital rounding on behalf of assigned primary care providers coordinating care for patients who are admitted as inpatients communicating clinical updates to the provider team and supporting safe discharge planning and continuity of care.
This role focuses on coordinating care transitions supporting high-risk patients and reducing avoidable hospital utilization through proactive follow-up and care coordination.
Why Join Us
- Team-based patient-centered environment
- Focus on quality and outcomes not volume
- Opportunity to make a measurable impact on patient care
Key Responsibilities
- Monitor hospital admissions discharges and ED visits for assigned patients
- Conduct timely post-discharge outreach and care coordination
- Schedule and support follow-up appointments with primary care and specialists
- Perform medication reconciliation after hospital discharge
- Identify high-risk patients and provide targeted care management
- Coordinate home health rehab DME and community resources
- Support quality measures related to readmissions care transitions and chronic disease management
- Document care coordination activities in the EHR
- Collaborate with providers care teams and hospital partners
Required
- RN LPN or Social Worker (BSW/MSW) with active state license
- 2 years of experience in case management hospital discharge planning or ambulatory care
- Strong communication and organizational skills
Preferred
- Experience with value-based care ACOs or Medicare Advantage
- Case Management certification (CCM ACM)
- Familiarity with quality metrics and population health workflows
What Success Looks Like
- Timely post-discharge follow-up
- Reduced hospital readmissions and ED utilization
- Improved patient engagement and continuity of care
PM20
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
PedIM Healthcare provides senior geriatric, adult internal medicine, family practice, pediatrics, medical weight loss as well as sleep medicine. All under one roof. It is the first private medical office of its kind in citrus county. We are proud to be known as a top primary care medi ... View more
