RN - Lead Care Manager (Full-Time, Day Shift)

About the Role

The case management nurse collaborates with healthcare teams to develop, implement, and report on patient care plans, ensuring optimal outcomes. They act as a liaison among patients, families, clinicians, and other stakeholders, providing expert consultation on patient-specific issues.

Responsibilities

• Coordinate patient care across disciplines, monitoring appropriateness and timeliness.
• Ensure care plans align with patient needs, reviewing diagnostics, treatments, and procedures.
• Discuss resource utilization, treatment plans, and discharge strategies with physicians, focusing on complex and high-utilizer patients.
• Manage patient transfers to tertiary centers, ensuring continuity of care.
• Collect data for regulatory compliance and oversee frequent ED visitors through focused reviews.
• Perform additional duties as assigned.

Requirements

• Registered Nurse (RN) licensure required.
• Bachelor’s Degree in Nursing preferred.
• Experience in care management and case management certification preferred.
• Strong communication, coordination, and analytical skills to manage complex patient cases.