Case Manager - TX - On Site

About us

We are a community-based hospital located near the historic White Rock Lake community, that serves the Dallas, Garland, Mesquite and surrounding areas. We specialize in a wide range of services including comprehensive medical / surgical care, bariatric, cardiology, outpatient and emergency medicine.

Our mission is to deliver exceptional healthcare with compassion and excellence. We are seeking compassionate, care-minded individuals to join our company and make a difference. As a member of the White Rock Medical Center team, you can advance your skills while working in a supportive and patient-focused environment.

Position Summary

The Case Manager is responsible for facilitating effective and efficient patient care coordination, ensuring appropriate resource utilization, and guiding patients and families through the healthcare continuum. This is a full-time, on-site position focused on improving patient outcomes, expediting care transitions, and ensuring compliance with regulatory and payer requirements.

Essential Duties and Responsibilities

• Manages patient cases from admission through discharge for inpatient, observation, and ICU populations.
• Collaborates with physicians, nurses, social workers, and other healthcare providers to plan and coordinate patient care.
• Facilitates timely and appropriate discharge planning and placement to ensure continuity of care.
• Evaluates medical necessity for admissions and continued stays in accordance with clinical guidelines and payer requirements.
• Ensures documentation supports medical necessity, level of care, and discharge planning efforts.
• Coordinates care team meetings and family conferences as needed.
• Provides education to patients and families on post-discharge care needs and available resources.
• Participates in quality improvement initiatives related to length of stay, readmissions, and patient outcomes.
• Maintains current knowledge of CMS regulations, payer guidelines, and hospital policies.

Knowledge, Skills, and Abil ities

Behavioral Standards

Communication / Knowledge

Collaboration / Teamwork

Education & Experience