Care Manager
On-siteDecatur, Georgia, United States
Job Summary
Coordinate patient care from admission through discharge, completing thorough psychosocial assessments to drive timely discharge planning and facilitate high-quality clinical outcomes. Manage post-acute service referrals, advocate for patients with internal and external stakeholders, and initiate discussions with payors to reduce denied services and optimize reimbursement. Attend interdisciplinary rounds and care conferences, educate patients and families on transitions of care, and ensure compliance with federal, state, and third-party regulatory requirements. Escalate complex cases to management, Physician Advisors, or Ethics committees as needed.
Required Qualifications
- Valid, unencumbered Registered Nurse License approved by the Georgia Board of Nursing
- Two (2) years experience in healthcare
- Masters in Social Work from an accredited school of social work
- Licensed as a Master Social Worker (LMSW) through the Georgia Composite Board of Professional Counselors, Social Workers, and Marriage & Family Therapists
- Demonstrated knowledge of software/EMR applications
Desired Qualifications
- Bachelors degree in Nursing from an accredited school of nursing
- One (1) year healthcare experience in Acute Care setting
- Accredited Case Manager (ACM) Certification through the American Case Management Association or Certified Case Management (CCM) through the Commission for Case Manager Certification
- Two (2) years healthcare experience in Acute Care setting
- Three (3) years healthcare experience in Acute Care setting
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.