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Emory Healthcare

Academic medical center delivering patient care

Care Manager

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeAtlanta, GA, USANo salary listedIn-person

About the Job

Requirements

  • RN Care Manager candidates must hold a valid, unencumbered Registered Nurse license approved by the Georgia Board of Nursing and have two years of healthcare experience.
  • Social Work Care Manager I, II, and III candidates must hold a Master's in Social Work from an accredited school of social work and demonstrate knowledge of software and electronic medical record applications.
  • Social Work Care Manager II candidates must be licensed as a Master Social Worker through the Georgia Composite Board of Professional Counselors, Social Workers, and Marriage & Family Therapists.
  • Social Work Care Manager III candidates must be licensed as a Clinical Social Worker through the Georgia Composite Board of Professional Counselors, Social Workers, and Marriage & Family Therapists.

Responsibilities

  • Coordinate patient care from admission through discharge, facilitating transitions from the hospital and high-quality clinical and cost outcomes.
  • Secure post-acute services and coordinate and advocate for patients and families with internal and external stakeholders.
  • Identify and address potential barriers to care coordination and discharge planning to support efficient care delivery and maximize reimbursement.
  • Complete admission and psychosocial assessments to capture information accurately and begin discharge planning promptly.
  • Attend interdisciplinary rounds, care conferences, and care team meetings.
  • Represent the hospital care team and patient or family, balancing patient and family choice and projected care coordination needs with the ability to execute services.
  • Work with the hospital care team and the patient or family to plan and implement appropriate care plans, considering limitations and preferences.
  • Identify, recommend, and refer patients to appropriate post-acute care providers in a timely manner, coordinating with patients, families, and the care team.
  • Continuously assess post-acute services as the patient’s condition changes and ensure they remain appropriate.
  • Align discharge plans with the medically cleared discharge date and projected length of stay provided by the payor.
  • Identify and participate in strategies to reduce unnecessary length of stay and resource consumption.
  • Escalate cases as appropriate to management, the Physician Advisor, Complex Care team, or Ethics committee.
  • Educate patients, families, and the care team about post-acute services, transitions of care, readmission mitigation, appropriate post-acute care choices, and available resources.
  • Provide supportive and therapeutic communication to patients and families experiencing anxiety or stress due to illness, injury, or physical limitations.
  • Communicate confidently, effectively, and therapeutically while representing the organization favorably.
  • Initiate and facilitate discussions with payors to advocate for patients and the hospital and reduce non-covered, non-authorized, or denied services.
  • Issue and administer notices of non-coverage and potential liability in accordance with regulations, policies, and procedures.
  • Advise physicians, the interdisciplinary care team, and patients on external regulations and organizational policies and procedures related to discharge planning and care coordination.
  • Ensure compliance with government and commercial payor requirements and with third-party payer, federal, and state regulatory requirements.
  • Use case management systems and workflows properly.

Desired Qualifications

  • RN Care Manager candidates are preferred to have a Bachelor's degree in Nursing from an accredited school of nursing.
  • Social Work Care Manager I candidates are preferred to have one year of healthcare experience in an acute care setting and either Accredited Case Manager certification through the American Case Management Association or Certified Case Manager certification through the Commission for Case Manager Certification.
  • Social Work Care Manager II candidates are preferred to have two years of healthcare experience in an acute care setting and either Accredited Case Manager certification through the American Case Management Association or Certified Case Manager certification through the Commission for Case Manager Certification.
  • Social Work Care Manager III candidates are preferred to have three years of healthcare experience in an acute care setting and either Accredited Case Manager certification through the American Case Management Association or Certified Case Manager certification through the Commission for Case Manager Certification.

About the Company

Emory Healthcare

Academic medical center delivering patient care

Emory Healthcare provides hospital-based medical care and supports a broad range of health services, from routine treatment to complex medical interventions. The organization combines clinical practice with medical research to advance treatments and patient outcomes. Its approach emphasizes expertise, collaboration, and compassionate care to improve lives inside hospitals and in the wider community. Emory Healthcare differentiates itself through high-quality patient care, active research programs, and a culture that prioritizes excellence and humanity. The overarching goal is to deliver excellent patient outcomes while expanding knowledge through research and education, ultimately improving health outcomes for patients locally and beyond.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Conyers, GA
Founded
2015

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