Care Manager RN

About the role

MountainView Regional Medical Center is seeking a Care Manager - RN to join their dedicated team. This role offers an exciting opportunity to make a significant impact on patient outcomes through coordinated discharge planning and case management.

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.
• Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
• Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• 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

Knowledge, Skills And Abilities

• 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
• BCLS - Basic Life Support required

State Specific Requirements

• Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred
• New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred