Case Manager, Transition Coach Careers at WVU Medicine - Bridgeport, West Virginia | Apply Now!
WVU Medicine
Case Manager, Transition Coach Careers at WVU Medicine - Bridgeport, West Virginia | Apply Now!
Job Description
Case Manager, Transition Coach at WVU Medicine - United Hospital Center
Role Overview
The Case Manager, Transition Coach at WVU Medicine's United Hospital Center (UHC) plays a vital role in ensuring patients receive the appropriate level of care, smooth transitions, and optimal outcomes. This position involves comprehensive planning for targeted patient populations, focusing on resource management, utilization management, and discharge planning. The Case Manager works collaboratively with a multidisciplinary team to facilitate desired treatment outcomes and ensure patient-focused, high-quality care.
Day in the Life
A typical day for the Case Manager, Transition Coach includes:
- Patient Assessment: Meeting with patients and their families to assess their needs and develop individualized transition/discharge plans.
- Collaboration: Working closely with physicians, nurses, and other healthcare professionals to coordinate care and ensure alignment with treatment goals.
- Discharge Planning: Managing all aspects of transition/discharge planning, including referrals to post-acute services such as home care, durable medical equipment, hospice, and rehabilitation facilities.
- Documentation: Providing timely and comprehensive documentation of interactions with patients and families, as well as all transition/discharge planning activities.
- Resource Management: Coordinating financial assistance, entitlement programs, and patient benefits to address financial barriers to care.
- Utilization Management: Applying approved utilization criteria to ensure medical necessity of patient admissions and continued stays.
- Quality Improvement: Utilizing quality screens in the electronic record to identify potential issues such as avoidable delays and readmissions.
- Education: Providing education to staff, physicians, patients, and families to ensure effective transition planning.
Why Bridgeport, West Virginia
Bridgeport, West Virginia, offers a unique blend of small-town charm and access to modern amenities, making it an attractive location for healthcare professionals. Located in Harrison County, Bridgeport provides a family-friendly environment with excellent schools and a strong sense of community. The area boasts beautiful natural landscapes, offering opportunities for outdoor activities such as hiking, fishing, and skiing. Additionally, Bridgeport's proximity to larger cities like Morgantown and Clarksburg provides access to cultural events, dining, and entertainment options. Working at UHC in Bridgeport allows professionals to make a meaningful impact on the local community while enjoying a balanced and fulfilling lifestyle.
Career Path
The Case Manager, Transition Coach position offers various career advancement opportunities within WVU Medicine. Potential career paths include:
- Senior Case Manager: Taking on a leadership role within the case management team, overseeing complex cases and mentoring junior staff.
- Clinical Nurse Manager: Transitioning into a management role, overseeing nursing staff and ensuring quality patient care.
- Utilization Review Specialist: Focusing on utilization management and ensuring appropriate resource allocation.
- Quality Improvement Specialist: Leading quality improvement initiatives to enhance patient outcomes and optimize healthcare processes.
- Case Management Director: Advancing into a director-level position, responsible for the overall management and strategic direction of case management services.
Salary & Benefits
The estimated salary range for a Case Manager, Transition Coach at WVU Medicine's United Hospital Center is between $68,000 and $95,000 annually, depending on experience, education, and certifications. WVU Medicine offers a comprehensive benefits package, including:
- Comprehensive health insurance coverage (medical, dental, and vision).
- Paid time off (PTO) for vacation, sick leave, and holidays.
- Retirement plan options with employer matching contributions.
- Life insurance and disability coverage.
- Flexible spending accounts (FSAs) for healthcare and dependent care expenses.
- Employee assistance program (EAP) for confidential counseling and support services.
- Tuition reimbursement or assistance for continuing education and professional development.
- Wellness programs to promote employee health and well-being.
- Employee discounts on various products and services.
- Opportunities for career advancement and growth within WVU Medicine.
- A supportive and collaborative work environment.
- Professional development opportunities, including training and conferences.
WVU Medicine Culture
WVU Medicine is committed to providing high-quality, patient-centered care in a supportive and collaborative environment. The organization values teamwork, respect, and continuous improvement. Employees are encouraged to pursue professional development opportunities and contribute to a culture of excellence. WVU Medicine fosters a diverse and inclusive workplace where all employees feel valued and respected. The organization is dedicated to providing employees with the resources and support they need to succeed and make a meaningful impact on the lives of patients and their families. WVU Medicine also prioritizes employee well-being, offering wellness programs and resources to promote a healthy work-life balance. The organization is actively involved in the communities it serves, supporting local initiatives and promoting health and wellness.
How to Apply
To apply for the Case Manager, Transition Coach position at WVU Medicine's United Hospital Center, please visit the WVU Medicine careers website. Create an account or log in to your existing account, search for the Case Manager, Transition Coach position, and follow the instructions to complete the online application. Be sure to include a resume and cover letter highlighting your qualifications and experience. The application process includes:
- Submitting an online application.
- Completing a pre-employment assessment.
- Participating in a virtual or in-person interview.
- Completing a background check and drug screen.
- Providing necessary documentation for employment verification.
Frequently Asked Questions (FAQ)
- What are the key responsibilities of a Case Manager, Transition Coach? The Case Manager, Transition Coach is responsible for managing all aspects of transition/discharge planning, collaborating with the multidisciplinary team, monitoring patient progress, providing education, and coordinating resource and financial management.
- What qualifications are required for this position? The minimum qualifications include a current Registered Nurse (RN) license issued by the state of West Virginia or a current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC), and three (3) years of clinical experience. A Bachelor’s degree in Nursing (BSN) is preferred.
- What skills are essential for success in this role? Essential skills include case management, discharge planning, utilization management, resource management, care coordination, referral management, communication, and interpersonal skills.
- What career advancement opportunities are available? Career advancement opportunities include Senior Case Manager, Clinical Nurse Manager, Utilization Review Specialist, Quality Improvement Specialist, and Case Management Director.
- What benefits does WVU Medicine offer? WVU Medicine offers comprehensive health insurance, paid time off, retirement plan options, life insurance, disability coverage, flexible spending accounts, employee assistance program, tuition reimbursement, wellness programs, and employee discounts.
- What is the work environment like at WVU Medicine? WVU Medicine fosters a supportive and collaborative work environment that values teamwork, respect, and continuous improvement. The organization is committed to providing employees with the resources and support they need to succeed.
- How does WVU Medicine support employee well-being? WVU Medicine offers wellness programs and resources to promote a healthy work-life balance, including confidential counseling and support services through the Employee Assistance Program (EAP).
- Is there a sign-on bonus or relocation assistance available? A sign-on bonus and relocation assistance may be available, depending on the specific circumstances. Please inquire with the HR department for more information.
- What is the salary range for this position? The estimated salary range is between $68,000 and $95,000 annually, depending on experience, education, and certifications.
- How can I learn more about WVU Medicine's commitment to diversity and inclusion? WVU Medicine is committed to providing a diverse and inclusive workplace where all employees feel valued and respected. More information can be found on the WVU Medicine website under the Diversity and Inclusion section.
Locations
- Bridgeport, West Virginia, United States
Salary
74,800 - 104,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Case Managementintermediate
- Discharge Planningintermediate
- Utilization Managementintermediate
- Resource Managementintermediate
- Care Coordinationintermediate
- Referral Managementintermediate
- Multidisciplinary Collaborationintermediate
- Patient Educationintermediate
- Family Educationintermediate
- Medical Documentationintermediate
- Clinical Reviewintermediate
- Authorization Screeningintermediate
- Financial Assistance Coordinationintermediate
- Entitlement Program Coordinationintermediate
- Patient Benefit Coordinationintermediate
- Electronic Health Records (EHR)intermediate
- Medical Necessity Determinationintermediate
- Communication Skillsintermediate
- Interpersonal Skillsintermediate
- Problem-Solvingintermediate
- Critical Thinkingintermediate
- Time Managementintermediate
- Organizational Skillsintermediate
- Conflict Resolutionintermediate
- Negotiation Skillsintermediate
Required Qualifications
- Current Registered Nurse (RN) license issued by the state of West Virginia or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). (experience)
- Three (3) years of clinical experience in a hospital or healthcare setting. (experience)
- Knowledge of case management principles and practices. (experience)
- Understanding of healthcare regulations and compliance standards. (experience)
- Familiarity with medical terminology and procedures. (experience)
- Proficiency in using electronic health record (EHR) systems. (experience)
- Ability to assess patient needs and develop individualized care plans. (experience)
- Strong communication and interpersonal skills to collaborate with multidisciplinary teams and patients/families. (experience)
- Ability to prioritize and manage multiple tasks effectively. (experience)
- Knowledge of community resources and post-acute care options. (experience)
- Understanding of utilization management and denial management processes. (experience)
- Experience with discharge planning and transition of care coordination. (experience)
- Ability to work independently and as part of a team. (experience)
- Commitment to providing patient-centered care. (experience)
Responsibilities
- Manage all aspects of transition/discharge planning for assigned patients in a timely manner, ensuring smooth and effective transitions to appropriate care settings.
- Collaborate with all members of the multidisciplinary team, including physicians, nurses, therapists, and social workers, to facilitate the transition/discharge process for designated caseload.
- Monitor the patient’s progress, intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient-focused, high quality, efficient, and cost-effective.
- Provide education as needed to staff, physicians, patients, and their families to ensure effective transition planning and understanding of care plans.
- Meet directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team, considering their preferences and goals.
- Communicate with the multidisciplinary team and post-acute providers, when applicable, regarding any complex family dynamics that may directly impact patient care and transition/discharge planning.
- Initiate and facilitate referrals to post-acute services, including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
- Communicate all necessary information regarding the transition/discharge plan to the multidisciplinary team, patient, and family, ensuring clear understanding and coordination of care.
- Provide timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
- Assist patient/families with completion of medical power of attorney, health care surrogate, and advanced directives, facilitating end-of-life care planning.
- Collaborate for appropriate resource and financial management, which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination, to address financial barriers to care.
- Utilize quality screens in the electronic record to identify potential issues, including but not limited to: avoidable delays and readmissions, proactively addressing potential problems.
- Complete clinical reviews for patients to ensure appropriate level of care and resource utilization.
- Apply approved utilization criteria to ensure medical necessity of patient’s admissions and continued stays, and documents the findings based on department standards, policy, and procedure.
- Screen for appropriate authorization and level of care, ensuring compliance with payer requirements.
Benefits
- general: Comprehensive health insurance coverage (medical, dental, and vision).
- general: Paid time off (PTO) for vacation, sick leave, and holidays.
- general: Retirement plan options with employer matching contributions.
- general: Life insurance and disability coverage.
- general: Flexible spending accounts (FSAs) for healthcare and dependent care expenses.
- general: Employee assistance program (EAP) for confidential counseling and support services.
- general: Tuition reimbursement or assistance for continuing education and professional development.
- general: Wellness programs to promote employee health and well-being.
- general: Employee discounts on various products and services.
- general: Opportunities for career advancement and growth within WVU Medicine.
- general: A supportive and collaborative work environment.
- general: Professional development opportunities, including training and conferences.
- general: Relocation assistance (if applicable).
- general: Sign-on bonus (if applicable).
- general: Competitive salary and compensation package.
- general: Employee recognition programs.
Tags & Categories
Answer 10 quick questions to check your fit for Case Manager, Transition Coach Careers at WVU Medicine - Bridgeport, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs
Case Manager, Transition Coach Careers at WVU Medicine - Bridgeport, West Virginia | Apply Now!
WVU Medicine
Case Manager, Transition Coach Careers at WVU Medicine - Bridgeport, West Virginia | Apply Now!
Job Description
Case Manager, Transition Coach at WVU Medicine - United Hospital Center
Role Overview
The Case Manager, Transition Coach at WVU Medicine's United Hospital Center (UHC) plays a vital role in ensuring patients receive the appropriate level of care, smooth transitions, and optimal outcomes. This position involves comprehensive planning for targeted patient populations, focusing on resource management, utilization management, and discharge planning. The Case Manager works collaboratively with a multidisciplinary team to facilitate desired treatment outcomes and ensure patient-focused, high-quality care.
Day in the Life
A typical day for the Case Manager, Transition Coach includes:
- Patient Assessment: Meeting with patients and their families to assess their needs and develop individualized transition/discharge plans.
- Collaboration: Working closely with physicians, nurses, and other healthcare professionals to coordinate care and ensure alignment with treatment goals.
- Discharge Planning: Managing all aspects of transition/discharge planning, including referrals to post-acute services such as home care, durable medical equipment, hospice, and rehabilitation facilities.
- Documentation: Providing timely and comprehensive documentation of interactions with patients and families, as well as all transition/discharge planning activities.
- Resource Management: Coordinating financial assistance, entitlement programs, and patient benefits to address financial barriers to care.
- Utilization Management: Applying approved utilization criteria to ensure medical necessity of patient admissions and continued stays.
- Quality Improvement: Utilizing quality screens in the electronic record to identify potential issues such as avoidable delays and readmissions.
- Education: Providing education to staff, physicians, patients, and families to ensure effective transition planning.
Why Bridgeport, West Virginia
Bridgeport, West Virginia, offers a unique blend of small-town charm and access to modern amenities, making it an attractive location for healthcare professionals. Located in Harrison County, Bridgeport provides a family-friendly environment with excellent schools and a strong sense of community. The area boasts beautiful natural landscapes, offering opportunities for outdoor activities such as hiking, fishing, and skiing. Additionally, Bridgeport's proximity to larger cities like Morgantown and Clarksburg provides access to cultural events, dining, and entertainment options. Working at UHC in Bridgeport allows professionals to make a meaningful impact on the local community while enjoying a balanced and fulfilling lifestyle.
Career Path
The Case Manager, Transition Coach position offers various career advancement opportunities within WVU Medicine. Potential career paths include:
- Senior Case Manager: Taking on a leadership role within the case management team, overseeing complex cases and mentoring junior staff.
- Clinical Nurse Manager: Transitioning into a management role, overseeing nursing staff and ensuring quality patient care.
- Utilization Review Specialist: Focusing on utilization management and ensuring appropriate resource allocation.
- Quality Improvement Specialist: Leading quality improvement initiatives to enhance patient outcomes and optimize healthcare processes.
- Case Management Director: Advancing into a director-level position, responsible for the overall management and strategic direction of case management services.
Salary & Benefits
The estimated salary range for a Case Manager, Transition Coach at WVU Medicine's United Hospital Center is between $68,000 and $95,000 annually, depending on experience, education, and certifications. WVU Medicine offers a comprehensive benefits package, including:
- Comprehensive health insurance coverage (medical, dental, and vision).
- Paid time off (PTO) for vacation, sick leave, and holidays.
- Retirement plan options with employer matching contributions.
- Life insurance and disability coverage.
- Flexible spending accounts (FSAs) for healthcare and dependent care expenses.
- Employee assistance program (EAP) for confidential counseling and support services.
- Tuition reimbursement or assistance for continuing education and professional development.
- Wellness programs to promote employee health and well-being.
- Employee discounts on various products and services.
- Opportunities for career advancement and growth within WVU Medicine.
- A supportive and collaborative work environment.
- Professional development opportunities, including training and conferences.
WVU Medicine Culture
WVU Medicine is committed to providing high-quality, patient-centered care in a supportive and collaborative environment. The organization values teamwork, respect, and continuous improvement. Employees are encouraged to pursue professional development opportunities and contribute to a culture of excellence. WVU Medicine fosters a diverse and inclusive workplace where all employees feel valued and respected. The organization is dedicated to providing employees with the resources and support they need to succeed and make a meaningful impact on the lives of patients and their families. WVU Medicine also prioritizes employee well-being, offering wellness programs and resources to promote a healthy work-life balance. The organization is actively involved in the communities it serves, supporting local initiatives and promoting health and wellness.
How to Apply
To apply for the Case Manager, Transition Coach position at WVU Medicine's United Hospital Center, please visit the WVU Medicine careers website. Create an account or log in to your existing account, search for the Case Manager, Transition Coach position, and follow the instructions to complete the online application. Be sure to include a resume and cover letter highlighting your qualifications and experience. The application process includes:
- Submitting an online application.
- Completing a pre-employment assessment.
- Participating in a virtual or in-person interview.
- Completing a background check and drug screen.
- Providing necessary documentation for employment verification.
Frequently Asked Questions (FAQ)
- What are the key responsibilities of a Case Manager, Transition Coach? The Case Manager, Transition Coach is responsible for managing all aspects of transition/discharge planning, collaborating with the multidisciplinary team, monitoring patient progress, providing education, and coordinating resource and financial management.
- What qualifications are required for this position? The minimum qualifications include a current Registered Nurse (RN) license issued by the state of West Virginia or a current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC), and three (3) years of clinical experience. A Bachelor’s degree in Nursing (BSN) is preferred.
- What skills are essential for success in this role? Essential skills include case management, discharge planning, utilization management, resource management, care coordination, referral management, communication, and interpersonal skills.
- What career advancement opportunities are available? Career advancement opportunities include Senior Case Manager, Clinical Nurse Manager, Utilization Review Specialist, Quality Improvement Specialist, and Case Management Director.
- What benefits does WVU Medicine offer? WVU Medicine offers comprehensive health insurance, paid time off, retirement plan options, life insurance, disability coverage, flexible spending accounts, employee assistance program, tuition reimbursement, wellness programs, and employee discounts.
- What is the work environment like at WVU Medicine? WVU Medicine fosters a supportive and collaborative work environment that values teamwork, respect, and continuous improvement. The organization is committed to providing employees with the resources and support they need to succeed.
- How does WVU Medicine support employee well-being? WVU Medicine offers wellness programs and resources to promote a healthy work-life balance, including confidential counseling and support services through the Employee Assistance Program (EAP).
- Is there a sign-on bonus or relocation assistance available? A sign-on bonus and relocation assistance may be available, depending on the specific circumstances. Please inquire with the HR department for more information.
- What is the salary range for this position? The estimated salary range is between $68,000 and $95,000 annually, depending on experience, education, and certifications.
- How can I learn more about WVU Medicine's commitment to diversity and inclusion? WVU Medicine is committed to providing a diverse and inclusive workplace where all employees feel valued and respected. More information can be found on the WVU Medicine website under the Diversity and Inclusion section.
Locations
- Bridgeport, West Virginia, United States
Salary
74,800 - 104,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Case Managementintermediate
- Discharge Planningintermediate
- Utilization Managementintermediate
- Resource Managementintermediate
- Care Coordinationintermediate
- Referral Managementintermediate
- Multidisciplinary Collaborationintermediate
- Patient Educationintermediate
- Family Educationintermediate
- Medical Documentationintermediate
- Clinical Reviewintermediate
- Authorization Screeningintermediate
- Financial Assistance Coordinationintermediate
- Entitlement Program Coordinationintermediate
- Patient Benefit Coordinationintermediate
- Electronic Health Records (EHR)intermediate
- Medical Necessity Determinationintermediate
- Communication Skillsintermediate
- Interpersonal Skillsintermediate
- Problem-Solvingintermediate
- Critical Thinkingintermediate
- Time Managementintermediate
- Organizational Skillsintermediate
- Conflict Resolutionintermediate
- Negotiation Skillsintermediate
Required Qualifications
- Current Registered Nurse (RN) license issued by the state of West Virginia or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). (experience)
- Three (3) years of clinical experience in a hospital or healthcare setting. (experience)
- Knowledge of case management principles and practices. (experience)
- Understanding of healthcare regulations and compliance standards. (experience)
- Familiarity with medical terminology and procedures. (experience)
- Proficiency in using electronic health record (EHR) systems. (experience)
- Ability to assess patient needs and develop individualized care plans. (experience)
- Strong communication and interpersonal skills to collaborate with multidisciplinary teams and patients/families. (experience)
- Ability to prioritize and manage multiple tasks effectively. (experience)
- Knowledge of community resources and post-acute care options. (experience)
- Understanding of utilization management and denial management processes. (experience)
- Experience with discharge planning and transition of care coordination. (experience)
- Ability to work independently and as part of a team. (experience)
- Commitment to providing patient-centered care. (experience)
Responsibilities
- Manage all aspects of transition/discharge planning for assigned patients in a timely manner, ensuring smooth and effective transitions to appropriate care settings.
- Collaborate with all members of the multidisciplinary team, including physicians, nurses, therapists, and social workers, to facilitate the transition/discharge process for designated caseload.
- Monitor the patient’s progress, intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient-focused, high quality, efficient, and cost-effective.
- Provide education as needed to staff, physicians, patients, and their families to ensure effective transition planning and understanding of care plans.
- Meet directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team, considering their preferences and goals.
- Communicate with the multidisciplinary team and post-acute providers, when applicable, regarding any complex family dynamics that may directly impact patient care and transition/discharge planning.
- Initiate and facilitate referrals to post-acute services, including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
- Communicate all necessary information regarding the transition/discharge plan to the multidisciplinary team, patient, and family, ensuring clear understanding and coordination of care.
- Provide timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
- Assist patient/families with completion of medical power of attorney, health care surrogate, and advanced directives, facilitating end-of-life care planning.
- Collaborate for appropriate resource and financial management, which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination, to address financial barriers to care.
- Utilize quality screens in the electronic record to identify potential issues, including but not limited to: avoidable delays and readmissions, proactively addressing potential problems.
- Complete clinical reviews for patients to ensure appropriate level of care and resource utilization.
- Apply approved utilization criteria to ensure medical necessity of patient’s admissions and continued stays, and documents the findings based on department standards, policy, and procedure.
- Screen for appropriate authorization and level of care, ensuring compliance with payer requirements.
Benefits
- general: Comprehensive health insurance coverage (medical, dental, and vision).
- general: Paid time off (PTO) for vacation, sick leave, and holidays.
- general: Retirement plan options with employer matching contributions.
- general: Life insurance and disability coverage.
- general: Flexible spending accounts (FSAs) for healthcare and dependent care expenses.
- general: Employee assistance program (EAP) for confidential counseling and support services.
- general: Tuition reimbursement or assistance for continuing education and professional development.
- general: Wellness programs to promote employee health and well-being.
- general: Employee discounts on various products and services.
- general: Opportunities for career advancement and growth within WVU Medicine.
- general: A supportive and collaborative work environment.
- general: Professional development opportunities, including training and conferences.
- general: Relocation assistance (if applicable).
- general: Sign-on bonus (if applicable).
- general: Competitive salary and compensation package.
- general: Employee recognition programs.
Tags & Categories
Answer 10 quick questions to check your fit for Case Manager, Transition Coach Careers at WVU Medicine - Bridgeport, West Virginia | Apply Now! @ WVU Medicine.
Related Books and Jobs