Clinical Case Manager - Job Details

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Clinical Case Manager

Location: Fully Remote

Pay: $52.75/hr

Description:

Support and ensure that patients receive the appropriate services and help manage resources, reducing unnecessary hospital readmissions.

Responsibilities:

  • Assess patients' medical, emotional, and social needs to create a comprehensive care plan.
  • Collaborate with healthcare providers, families, and other stakeholders to ensure the patient receives high-quality care.
  • Monitor the progress of patients and adjust care plans as needed to achieve optimal outcomes.
  • Educate patients and their families on treatment options and health management strategies.
  • Act as an advocate for patients, ensuring they receive necessary medical services in a timely manner.
  • AProvide guidance and support in navigating healthcare systems, including insurance and referral processes.

Qualifications:

  • Bachelor's or Master's degree in Nursing, Social Work, or related healthcare field.
  • Current nursing license or social work certification (depending on the specialty).
  • Minimum of 3-5 years of experience in case management, clinical care, or a related field.
  • Strong knowledge of healthcare regulations, insurance policies, and patient advocacy.
  • Excellent communication, problem-solving, and organizational skills.
  • Ability to work independently and as part of a multidisciplinary team.