Job Title: Case Manager
Location: Rapid City, South Dakota
Schedule: 8:00AM – 5:00PM x 5
Term: Permanent
Salary: $72000.00 – $91000.00
Astrya Global, a San Diego based medical staffing agency, is hiring a Case Manager for a permanent assignment in Rapid City, South Dakota.
Responsibilities for a Case Manager:
• Coordinate services for hospitalized patients whose care needs range from observation level of care to emergent/urgent higher level of care transitions, including facilitation of payer authorization and transportation
• Conduct patient triage for hospitalized patients to ensure transitions to other appropriate settings, ranging from post-acute care to acute care transitions
• Use critical thinking skills to assist providers in establishing plan of care recommendations for hospitalized patients
• Partner with providers and Physician Advisors/Medical Directors to escalate complex cases for review in compliance with Conditions of Participation and Escalation standards
• Optimize care coordination with hospital, ER, nursing homes, assisted living facilities, physicians, and community resources as necessary
• Facilitate planning for patient/family needs to ensure smooth transitions across the continuum of care
• Coordinate the provider aspect of federal/state organization functions as detailed in the Conditions of Participation and other appropriate regulations
• Support the Medical Staff Quality Review process by identifying issues related to quality indicators set forth by the Medical Staff
• Create and update the Plan of Care (POC) to include patient/family-centered goals with interventions reflecting the changing needs of the patient/family unit
• Maintain working knowledge and relationships with community resources and payer benefits to link individuals with the most appropriate resources
• Maintain expertise on benefits, reimbursement, and contract/regulation changes per payer guidelines, Medicare, and Medicaid to facilitate appropriate reimbursement and guidance
• Offer guidance to patients/families regarding applications for funding, guardianship, and charity care programs as needed
• Evaluate current treatment plans to identify barriers, determine realistic goals and objectives, and seek potential alternatives in conjunction with the medical staff
• Coordinate team efforts with support services departments to ensure appropriate care and smooth discharge transitions
• Serve as a visible resource on the unit and coordinate interdisciplinary team huddles/communication, identifying and communicating patient healthcare needs based on best practice standards
• Ensure care and communication needs are met in relation to both internal and external providers/services, ancillary department services, core measures, compliance with internal policies/regulatory guidelines, and True North metrics
• Perform all other duties as assigned
Benefits for a Case Manager:
- Salary: $72000.00 – $91000.00
- Full-service Credentialing and Corporate Travel Team
- Referral Bonus up to $1,500
Astrya Global Medical Staffing offers 10+ years of staffing experience, 100% domestic support, and is certified by both the Joint Commission and National Association of Locum Tenens Organizations. At Astrya, we are dedicated to helping healthcare professionals find the perfect job.
