Case Mgr II - Inpatient Pediatrics

• Coordinates the care and services of selected patient populations across the continuum of illness
• Promotes effective utilization and monitoring of health care resources
• Assumes a critical role with an interdisciplinary team to achieve optimal patient-centered, clinical, and resource outcomes
• Proactively identifies and intervenes to address barriers to treatment, health outcomes, and discharge planning, including biopsychosocial and other high-risk factors
• Acts as an essential link between the patient, the healthcare team, the payer, and the community
• Apply evidence-based case management practices
• Conduct comprehensive assessments including medical, psychosocial, and environmental factors
• Formulate and implement individualized care plans in collaboration with patients, families, and care teams
• Demonstrate strong verbal and written communication skills
• Build honest, respectful relationships with patients, families, and interdisciplinary teams
• Facilitate care conferences and communicate effectively with payers and community partners
• Exhibit awareness of personal and cultural values, beliefs, and biases
• Promote diversity and respect across all interactions
• Tailor care and education to meet the needs of diverse populations
• Maintain up-to-date knowledge of HIPAA, JCAHO, CMS, and other regulatory requirements
• Perform utilization reviews using InterQual or equivalent criteria
• Issue HINNs and IM notices as appropriate
• Foster a culture of teamwork and mutual respect
• Demonstrate integrity, compassion, and professionalism
• Engage in continuous learning and contribute to departmental initiatives

• Master's in social work from an accredited school of social work. LICSW preferred
• OR Current RN licensure or compact licensure recognized by the State of Vermont is required
• OR Master's degree from an accredited institution in a Health or Human Services field, this can include a Master's degree in Counseling. Licensure preferred
• OR Bachelor’s of Science or higher degree from an Accredited Occupational Therapy Program. Licensed or eligible to be licensed to practice occupational therapy in the State of Vermont
• OR Bachelor’s of Science or higher degree from an Accredited Physical Therapy program. Licensed or eligible to be licensed to practice physical therapy in the State of Vermont
• Case management accreditation required by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications) preferred
• Minimum of (3) years experience in a clinical setting, including (2) years in a medical setting, preferably a hospital
• (2) years case management experience or a similar role preferred

• LICSW preferred
• Case management accreditation (CCM, ACM or ANCC certifications) preferred
• (2) years case management experience or a similar role preferred

Comprehensive, total compensation package that includes salary, health and wellness benefits, paid time off, and more