RN Case Manager
Core
RN Case Manager providing case management for assigned patient populations, coordinating care transitions, and managing resource utilization.
Role type
Senior Registered Nurse Case Manager
Builds
Patient care plans, discharge plans, and post-acute care referrals
Domain
Healthcare / Case Management
Required skills
Registered Nurse licensure, patient needs assessment, interdisciplinary collaboration, discharge planning, resource management, regulatory compliance, data analysis, medication management, care coordination
Preferred skills
Supervisory or leadership experience, knowledge of growth and development across age groups
Technologies
InterQual software, JVION predictive analytic software, EHR documentation systems
Responsibilities
Perform patient needs assessments upon admission and at regular intervals; coordinate referrals for post-acute services (home health, hospice, DME); facilitate care transitions between acute hospitals, jails, and other facilities; communicate with patients/families regarding financial implications of discharge; document care plans and interventions accurately; participate in interdisciplinary team meetings; analyze patient care and fiscal data to improve quality outcomes; assist with medication authorizations and co-pay information.
Seniority
Senior, hands-on IC with 3+ years of recent clinical experience