Registered Nurse (RN) Case Manager
Job Summary
As a Case Manager, you will play a vital role in providing compassionate, patient-centered care. This position focuses on the collaboration of medical staff, patients, and their families, ensuring comprehensive health needs are met through assessment, planning, and advocating for quality outcomes. You will work to establish individualized care plans aligned with the organization's mission and goals.
Essential Functions
- Coordinate services for hospitalized patients requiring various levels of care, ensuring effective transitions and facilitating payer authorization and transportation.
- Triage hospitalized patients to ensure appropriate transitions to alternate care settings.
- Utilize critical thinking skills to support providers in developing care plans tailored to hospitalized patients.
- Collaborate with providers and medical directors to escalate complex cases as necessary.
- Optimize care coordination with various healthcare settings and community resources to meet patient and family needs effectively.
- Maintain compliance with federal and state regulations regarding patient care and transitions.
- Support quality review processes by identifying key quality indicators.
- Create and update individualized Plans of Care, focusing on patient and family-centered goals.
- Stay informed about community resources and payer benefits necessary for patient transitions.
- Facilitate planning, helping patients and families navigate funding and charity care applications.
- Evaluate treatment plans to identify barriers and implement realistic goals in collaboration with the medical staff.
- Serve as a resource within the unit, coordinating interdisciplinary communication to meet patient care needs efficiently.
Qualifications
Required:
- Completion of an accredited nursing education program.
- Current Registered Nurse (RN) certification from the board of nursing.
Preferred:
- Bachelor's degree in Nursing.
- Two or more years of acute care experience.
- Two or more years of experience as a Registered Nurse.
- Certification in Case Management from an accredited program.
Physical Requirements
This position requires the ability to exert moderate physical effort, including moving objects weighing up to 50 pounds occasionally, 30 pounds frequently, and 10 pounds constantly.
Work Environment
Full-time, day shifts are expected, and flexibility in scheduling may be required.
Join a supportive work culture that offers competitive benefits, opportunities for growth, and a chance to make a meaningful impact every day.