RN Case Manager
Core
RN Case Manager providing case management for assigned patient populations, coordinating care transitions, and managing resource utilization.
Role type
Registered Nurse Case Manager
Builds
Patient care plans, discharge plans, and post-acute care referrals
Domain
Healthcare / Case Management
Required skills
Patient needs assessment, interdisciplinary collaboration, care coordination, regulatory compliance, data analysis, medication management, referral facilitation, documentation, financial counseling
Preferred skills
Supervisory experience, leadership
Technologies
InterQual, JVION, predictive analytic software
Responsibilities
Perform face-to-face patient assessments, coordinate post-acute referrals (home health, hospice, DME), communicate with Utilization Review and Social Work, document care plans and interventions, analyze patient care and fiscal data, facilitate care transitions between facilities and correctional facilities, assist with medication authorization and co-pay management.
Seniority
Mid-level, hands-on IC