RN Case Manager (2026-0483)

About the role

The position is within the Case Management department at VALLEY MEDICAL CENTER. It involves facilitating discharge coordination, effective patient throughput in the inpatient setting, and continuity of care for specified populations in the acute care setting.

Responsibilities

• Facilitate timely medical case reviews and allocate patient case load based on medical complexity of care.
• Collaborate with the patient or surrogate to gather information about the patient's psychosocial, functional, and financial situation to identify needs or barriers to care.
• Communicate with the multidisciplinary team to complete assessment and establish a discharge plan based on individual patient needs, patient preferences, and available treatment options.
• Provide education and information to patients/surrogates to facilitate informed decision-making and active participation in the plan for transfer/discharge.
• Identify and address benefits and resources based on patient's needs and preferences, and coordinate with insurance companies and public health benefit programs.
• Initiate timely family conferences or multidisciplinary case conferences for complex transition discharges.
• Respond to nurse, physician, and admission review screens in a timely manner, and manage readmission reviews including root cause analysis.
• Engage in post-discharge follow-up to manage successful transitions in care.
• Independently complete assessments and plans interventions sensitive to the patient's cultural, social, physical, mental, and economic status and developmental state.
• Document all assessments, plans, and interventions in the medical record with clarity and conciseness.
• Complete and/or review admission review assessments to identify potentially high-risk patients who may have an adverse health consequence without a case management order.
• Communicate effectively with other members of the multidisciplinary care team using appropriate interpersonal skills, group facilitation, and conflict management skills.
• Maintain current knowledge of case management, utilization management, and discharge planning resources.
• Work collaboratively with the Utilization Management team and Patient Financial Counselors, and refer quality, infection control, and risk management issues to the appropriate individual or department.
• Perform other duties as assigned, including orientation and training of new staff members.
• Serve as committee member or liaison to community partners per request of management.

Qualifications

• Current license as a registered nurse in the State of Washington.
• Minimum five years recent clinical experience as an RN working in an acute care setting required; 3 years of experience as a case manager preferred.
• Bachelor's degree preferred.
• Certification in Case Management preferred.
• Ability to communicate fluently in English, both verbally and in writing.
• Ability to type fluently and quickly; write legibly, spell correctly, and use accepted grammar.
• Ability to assess the clinical requirements of care in the medical setting; and to create, implement, and evaluate the effectiveness of care plans which address identified needs.
• Ability to meet and demonstrate VMC's mission, vision, and values, and abide by the VMC Caregiver Commitment.
• Effective communication skills, including group facilitation and conflict management skills.
• Ability to work in a collaborative team setting with peers.
• Interpersonal skills necessary to interact with the multidisciplinary team of care providers, to coordinate care for patients and families.
• Demonstrates sensitivity and compassion in the coordination of care requirements for all patients and families from a variety of ethnic, cultural, social, and economic backgrounds and with varied medical and developmental needs.
• Knowledge of community resources and how to access them effectively and efficiently.
• Knowledge of the healthcare financial environment, reimbursement methodologies, and length of stay management.
• Ability to work independently without close supervision; while managing multiple demands, prioritizing and producing accurate work, while, meeting outcome expectations and deadlines.
• Ability to function in multiple and varied settings throughout the facility.
• Neat and well-groomed appearance consistent with VMC dress code policy.
• Experienced navigator of basic electronic applications including Outlook, Office, and calendar management.
• Experienced in use of electronic health record (EHR).