RN Case Management - Full Time - Days

About the role

This position is responsible for managing case management, care coordination, and discharge planning functions, ensuring patient care aligns with quality standards and regulatory requirements.

Responsibilities

• Oversee department operations, staffing, and budget compliance.
• Collaborate across disciplines to optimize clinical outcomes and support patient-centered care.
• Participate in clinical performance improvement activities and quality initiatives.
• Develop and evaluate strategies for efficient, effective, and timely patient care.
• Manage staff development, evaluations, and disciplinary actions.
• Ensure adherence to regulatory, legal, and ethical standards in discharge planning and case management.

Qualifications

• Registered Nurse with a valid license (state-specific or multistate compact).
• Minimum of three years of case management experience and two years in leadership roles.
• Proficiency in clinical decision-making, medical criteria, and discharge planning guidelines (e.g., Interqual, Milliman).
• Strong communication, critical thinking, and problem-solving skills.
• Experience in process improvement and performance monitoring.

Additional Requirements

• Knowledge of healthcare regulations, payer guidelines, and hospital information systems.
• Ability to work independently in a stressful environment.
• Physical ability to perform duties, including lifting and carrying patients and equipment.