Care Transition Case Manager
Are you driven by compassion and the desire to support others as they transition smoothly from hospital care to the comfort of their own home? Join us in empowering at-risk individuals to navigate the healthcare system and access the resources they need to meet their complex needs.
As a Care Transition Case Manager, you will play a vital role in ensuring safe and effective discharge planning by partnering with the member, our internal team, facility staff, including nurses, case managers, discharge planners and social workers. You will also be working with the members, primary care providers and specialist to coordinate care post discharge.
In this role, you will be onsite at Nashville Area Hospitals at least once a week to conduct face-to-face meetings with our members to discuss their discharge needs. You will coordinate care directly with hospital staff. Your efforts will help bridge the gap between acute care and home, supporting members through a smooth and informed transition.
We're looking for individuals with strong critical thinking skills, excellent time management, and the ability to prioritize task efficiently. If you're self-motivated and thrive in a fast-paced environment, we'd love to have you on our team.
Job Responsibilities
- Supporting utilization management functions for more complex and non-routine cases as needed.
- Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs.
- Overseeing highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefits
- Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and evaluation.
- Digital positions must have the ability to effectively communicate via digital channels and offer technical support.
- Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.
- Various immunizations and/or associated medical tests may be required for this position.
- This job requires digital literacy assessment.
Job Qualifications
License
- Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
Experience
- 3 years - Clinical experience required
- 5 years - Experience in the health care industry
- For Select Community & Katie Beckett: 2 years experience in IDD for Select Community is required
Skills/Certifications
- Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years of hire.
- For Select Community & Katie Beckett: In addition to CCM, Certification in Developmental Disabilities Nursing (CDDN) is required at hire, or must be attained within 3 years.
- Excellent oral and written communication skills
- PC Skills required (Basic Microsoft Office and E-Mail)