Registered Nurse Care Manager

Full-time, day shift position with a bi-weekly schedule of 80 hours (0800–1600). Some weekend work required.

About the Role

Accountable for proactive coordination and timely transition of assigned patients to the most appropriate level of care along the continuum. Impacts key results such as achieving top decile performance in length of stay, cost-efficient resource utilization, preventing readmissions, and unnecessary emergency room visits. Works collaboratively with physicians, nursing, members of the multidisciplinary team (such as Home Care and PCP offices), as well as other resources internal and external to the organization.

Responsibilities

• Performs care coordination assessments for initial assessment of patients within 24 hours of admission, assessments for readmission, and transition planning.
• Works collaboratively with the social worker and other disciplines to ensure a safe, appropriate, and timely transition to the next level of care, taking into consideration the patient’s available resources.
• Assesses patient/family needs to reduce barriers and formulate discharge plans (e.g., LOS barriers to discharge).
• Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers.
• Reviews current DRG/LOS identified within Cerner to assess discharge planning needs with providers and identifies which family member is the point of contact.
• Assesses risk of readmission for specified patient populations and initiates assigned interventions that will enhance the patient’s ability to successfully transition along the care continuum.
• Performs discharge planning coordination/referral by making appropriate referrals to social services, ancillary departments, outpatient case management, DME, post-acute placement, and other outside agencies per Standard Operating Procedure (SOP).

Requirements

• State licensure as a Registered Nurse (RN).
• Bachelor’s degree in nursing from an accredited educational institution, or actively pursuing the degree with completion required within five years of accepting the position.
• Three years of acute hospital care experience.

Qualifications (Preferred)

• Experience in utilization management/case management, critical care, or patient outcomes/quality management.
• Certification in Case Management (ACM or CCM).
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross, or equivalent through the Military Training Network (MTN).

Benefits

• 403(b) retirement plan.
• Dental insurance.
• Health insurance.
• Paid time off.
• Vision insurance.