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Hospital Case Manager

TBG | The Bachrach Group
Indianapolis, IN Full Time
POSTED ON 1/21/2025 CLOSED ON 2/8/2025

What are the responsibilities and job description for the Hospital Case Manager position at TBG | The Bachrach Group?

Hospital Case Manager:


A Hospital Case Manager plays a crucial role in coordinating patient care and ensuring efficient utilization of resources within a medical facility. They work collaboratively with social workers, physicians, nurses, and other medical staff to provide essential medical assistance and care to patients. Here are the primary responsibilities:


Discharge Planning:

  • Create discharge plans to determine if patients need further help or care after leaving the hospital.
  • Communicate with patients or their families about post-discharge steps, such as arranging for home care or follow-up appointments.

Insurance Information Compilation:

  • Acquire and compile necessary insurance information from patients.
  • Understand patient ailments and negotiate with insurance companies to prevent claim denials.

Utilization Reviews:

  • Conduct utilization reviews to ensure adherence to protocols and optimal patient care.
  • Evaluate whether patients are receiving the best care for their conditions or illnesses.

Qualifications:

  • RN license is preferred. LSW, or LCSW is a plus.
  • Bachelor’s degree in a related field.
  • 2 years of healthcare experience, preferably in a case management role.
  • Case management certification is a plus.

Salary : $85,000 - $95,000

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