Nursing Case Coordinator – STMC – Case Management

The Case Coordinator plays a vital role in facilitating coordinated, patient-focused care under the supervision of the Senior Case Coordinator. This entry-level position supports interdisciplinary collaboration and ensures timely progression through the continuum of care while aligning with clinical standards, insurance protocols, and SEHA’s commitment to excellence.

🔑 Key Responsibilities

Managerial & Care Facilitation

• Coordinate multidisciplinary teams and accredited healthcare providers to support quality patient outcomes
• Develop care plans covering placement, discharge planning, utilization management, and transition support (upon reaching competency)
• Facilitate documentation compliance for medical records and insurance reimbursement
• Act as a bridge between physicians and finance regarding cost-effective clinical care

Technical Coordination

• Apply evidence-based screening criteria for admissions and continued stay reviews (under supervision)
• Collaborate with nursing, physicians, and allied health staff to maintain seamless patient flow
• Identify obstacles to discharge and recommend interventions
• Understand insurance benefits to optimize treatment coverage within authorized limits
• Support the collection and review of medical documentation and patient progress
• Engage in educational, transitional, and financial counseling upon competency

Quality & Safety

• Participate in clinical performance audits, reporting on length of stay, resource use, and readmission rates
• Assist in quality assurance initiatives and contribute to continuous improvement efforts
• Support physician documentation processes related to medical necessity and coding

Patient & Family Education

• Assist in planning and delivering health education, psychosocial support, and community resource referrals
• Update learning resources in alignment with case management practices
• Document educational efforts and outcomes accurately

📋 Qualifications

Required Experience

• Charge Nurse: Per DoH PQR + minimum 2 years in case management
• OR Staff Nurse: Per DoH PQR + minimum 4 years in case management
• OR Current SEHA Nurse (Senior/Charge/Staff) who completed SEHA Case Management Training Program (experience waiver applicable only for SEHA employees)

Desired

• Experience in a large healthcare facility