RN Case Manager

About the role

RN Case Managers work collaboratively with inter-professional teams across the continuum of care to facilitate and ensure effective transitional care coordination. Essential to this role are the core values of patient advocacy, holistic assessment, care planning and the empowerment of patients and families to self-manage.

Responsibilities

• Ensure compliance with standards of the accrediting bodies, state mandated revised code and the CMS Conditions of Participation.
• Promote interprofessional synchronization throughout the acute episode.
• Complete effective handoffs to the next level of care or community to ensure continuity of care.
• Proactively assess, identify and work to mitigate the risk posed by barriers to patients’ transitions of care.
• Work with the patient and/or care partner(s) to develop a comprehensive, individualized transitional care plan.
• Participate and lead in patient rounding activities, huddles and committee meetings.

Requirements

• Graduate from an accredited school of professional nursing (Diploma, ADN or BSN program)
• Current state licensure as a Registered Nurse (RN)
• Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross
• Three years of recent RN clinical experience

Preferred qualifications

• Bachelor of Science in Nursing (BSN)
• Certification by an approved entity within one year of eligibility (CTM, ACM or CCM)
• Two years of recent experience in utilization review, quality or care management
• Knowledge of acute care and accreditation requirements
• Experience in discharge planning and quality improvement

Physical Requirements

• Requires normal or corrected hearing and vision to normal range.
• Ability to perform work in a stationary position for extended periods.
• Ability to communicate and exchange accurate information.
• Ability to work with physical records, such as retrieving and filing.
• Ability to operate a computer and other office equipment.
• Ability to travel throughout the hospital system.
• In some locations ability to lift up to 10 pounds.

Benefits

• We offer the following choices to cover your health, dental and vision care as well as life insurance.
• Health Plan Options – You have the choice between two comprehensive Cleveland Clinic Employee Health Plan options: EHP and EHP Plus.
• Dental Care – Four plan options administered by Cigna are available.
• Vision Care – Two plan options administered by EyeMed are available.
• Flexible Spending Accounts – Healthcare and Dependent Care FSAs are available to help you pay for eligible expenses with pre-tax dollars.
• Life Insurance – Employer-paid life insurance equals 1x your annual salary with an option to purchase supplemental life insurance up to 10x your salary. You may also purchase dependent life insurance for a spouse and dependent children.
• Short- and Long-term Disability Coverage – Short-term disability is available after one continuous year of regular full-time service; long-term disability begins after 90 days.
• The 401(k) / 403(b) Plan also provides an important source of retirement savings. It allows participants to take responsibility for their financial future by making retirement savings a part of their normal routine while working. In addition to your contributions to the plan, Cleveland Clinic matches a portion of your contributions (50% on up to your first 6% in contributions).
• Paid Time Off (PTO) – Eligible caregivers receive Paid Time Off (PTO) that can be allotted toward vacation, holidays, sick time, etc.
• Caregiver discounts – We offer discounted rates for auto, home and pet insurance, identify theft protection and more.
• Adoption assistance – We provide financial assistance of up to $5,000/per child ($10,000 maximum lifetime benefit) for caregivers who choose to legally adopt a child.
• Employee Assistance Program – The Program provides free, confidential short-term counseling for caregivers and their families, whether for relationships or legal challenges.
• Employee Hardship Fund – This fund provides aid for caregivers experiencing unexpected financial difficulties.
• Paid maternity and parental leave – You will enjoy up to eight consecutive weeks for maternal care after the birth of your child to bond with your baby and up to four weeks for parental care.