The Case Management Extender (CME) is a patient-facing care coordination role that provides advanced operational, regulatory, and post-acute coordination support to the Case Management department. The primary function of this CME group is to decrease avoidable bed days and length of stay while ensuring safe, effective transitions of care across the continuum and beyond discharge.
This role operationalizes Case Manager-identified discharge plans by coordinating post-acute services, appointments, transportation, and payer-aligned resources, allowing Case Managers to remain focused on bedside clinical assessment and planning. The CME ensures regulatory notice delivery in compliance with the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and serves as a subject matter expert in payer resources and post-acute network navigation to support successful community-based care plan
Qualifications
This role operationalizes Case Manager-identified discharge plans by coordinating post-acute services, appointments, transportation, and payer-aligned resources, allowing Case Managers to remain focused on bedside clinical assessment and planning. The CME ensures regulatory notice delivery in compliance with the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and serves as a subject matter expert in payer resources and post-acute network navigation to support successful community-based care plan
Qualifications
- Experience in a hospital, clinical office, or insurance environment, with demonstrated knowledge of community-based resources and payer systems to support safe and effective patient outcomes. Proficiency in medical terminology is required.
- Candidates must demonstrate computer literacy, including experience with internet-based applications,
- Microsoft Office, and clinical electronic medical record (EMR) systems.