Case Management Jobs

Case management covers 2 roles: case managers, who coordinate a patient's care and discharge through a hospital stay, and clinical liaisons, who assess referred patients before an admission.

Usually a nurse or licensed social worker moving off the floor: the job needs clinical judgment about what a patient will need after discharge. The CCM certification is the common add-on.

Reviews patients referred to a facility, at the bedside or through records, and decides whether the facility can meet their needs. It's part clinical assessment, part admissions work, common at inpatient rehabilitation hospitals.

Hospital case managers drive discharge planning and utilization: where the patient goes next and what insurance covers. Social workers handle the psychosocial side: family, housing, benefits. Many hospitals pair the two on each unit.

Hospitals and inpatient rehabilitation facilities mostly, with insurers hiring case managers for member care coordination.

Insurer-side case management and utilization review are often remote for licensed nurses. Hospital case management stays on-site, since the work happens on the units. The insurer-side roles carry the remote tag.