Position Description:

Conduct comprehensive patient assessments, including medical history review, physiological evaluation, and psychosocial factors to inform tailored care strategies. Manage utilization review processes within managed care frameworks by evaluating medical necessity, reviewing medical records, and supporting appropriate resource allocation. Maintain strict compliance with HIPAA regulations by safeguarding patient information during intake, documentation in medical records, and case management activities. Facilitate communication between patients, families, healthcare providers, and insurance companies to ensure understanding of treatment plans and coverage options. Plan and conduct systematic patient assessment which identifies the need for patient education. Develop materials based on needs analysis. Experience Strong background in outpatient case management across diverse clinical settings. Familiarity with medical terminology, physiology concepts, diagnostic evaluation procedures, and utilization management protocols. Demonstrated ability to perform patient assessments effectively while utilizing social work principles. Excellent communication skills combined with a passion for patient service—dedicated to delivering compassionate support in high-pressure environments such as hospitals or clinics. Analytical skills necessary to evaluate patients status, community resources health care procedures/techniques, and to monitor quality of patient care.

Benefits:

403(b) Dental insurance Employee discount Health insurance Life insurance Loan forgiveness Mileage reimbursement Paid time off Retirement plan Vision insurance

Experience:

Clinical Case Management:

2 years (Preferred)

License/Certification:

CPR Certification (Preferred) Social Work License (Required) LPN License (Required)

Work Location:

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