Registered Nurse Care Manager - Case Management

Department: Case Management • Shift: Days • Scheduled biweekly hours: 80

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., length-of-stay barriers to discharge).

Requirements

• Required State licensure as a Registered Nurse (RN).
• Bachelor’s degree in nursing from an accredited educational institution, or actively pursuing the degree to be obtained within five years of accepting the position.
• Three years of acute hospital care experience.
• American Case Management Certification (ACM) or obtain certification when eligible as defined by the Association of Case Management, and maintenance of continuing education requirements.
• 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).

Preferred Qualifications

• Experience in utilization management/case management, critical care, or patient outcomes/quality management.
• Certification in Case Management (ACM or CCM).

Schedule

Full-time • Daily work times: 8:00 am – 4:30 pm • On-call: No • Weekends: Yes