Case Manager II -Pediatrics

Case Mgr II - Inpatient Pediatrics – UVM Health - UVM Medical Center

The Case Management and Social Work team at UVM Medical Center is seeking a Case Manager II. This position will work with our Inpatient Pediatric team.

This is an onsite position at UVM Medical Center in Burlington, VT.

The Case Manager (CM) coordinates the care and services of selected patient populations across the continuum of illness; promotes effective utilization and monitoring of health care resources; and assumes a critical role with an interdisciplinary team to achieve optimal patient-centered, clinical, and resource outcomes. The CM proactively identifies and intervenes to address barriers to treatment, health outcomes, and discharge planning, including biopsychosocial and other high-risk factors.

They are 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 Inter Qual 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.

UVMMC is dedicated to our patients, providing the highest quality care for patients and their families. It is a mission that defines our culture, one of teamwork and collaboration. Every employee, whether they work directly in patient care or in a supporting role, has a hand in contributing to the wellness of the patient and the community.

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Mid-Senior level

Full-time

Other

Hospitals and Health Care

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