Care Manager RN

About the Role

You will be successful in this role if you have case management or clinical nursing experience and can work a flexible schedule, including weekends and holidays. The Care Manager - RN coordinates and oversees discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Responsibilities

• Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
• Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
• Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Requirements

• Associate Degree in Nursing required; Bachelor's Degree in Nursing preferred.
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required.
• 2-4 years of care management experience preferred.
• 1 to 3 years of case management or discharge planning experience preferred. If no case management experience, 3 to 5 years of acute clinical nursing experience is acceptable.

Skills

• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required (state licensure in state of employment or Compact state licensure).
• Accredited Case Manager (ACM) preferred.
• CCM - Certified Case Manager preferred.
• BLS - Basic Life Support preferred.

Benefits

• Competitive base pay and night shift incentives.
• Health, dental, and vision insurance.
• 401K retirement plan.
• Paid time off (PTO).
• Medical care discounts for company-insured employees and family members.
• Tuition assistance and loan reimbursement program up to $20,000.

Schedule

• Flexible schedule, including weekends and holidays.
• Shifts: 07:30–16:00 or 07:00–17:30.

About the Organization

Mat-Su Regional Medical Center is a 125-bed facility offering a wide range of inpatient and outpatient care, diagnostic imaging, emergency, medical, and surgical services. Additional services include a sleep lab, cardiac catheterization lab, advanced wound care, inpatient behavioral health, three off-site urgent care facilities, robotic surgery, and advanced total hip replacement procedures. The medical center has twice been named one of the Top 150 Places to Work in Healthcare by Becker’s Hospital Review and received the Alaska State Hospital and Nursing Home Association's patient safety award in 2019.

Location

Located in Palmer, Alaska, 42 miles northeast of Anchorage in the Matanuska Valley. The city is framed by the majestic Pioneer and Twin Peaks in the Chugach Range and the Talkeetna Mountains, offering breathtaking natural beauty and a unique history and heritage.