Registered Nurse (RN) Complex Case Manager
Core
Manage complex patient discharges and care transitions, focusing on clinically complex cases to optimize health outcomes and resource utilization.
Role type
Senior Registered Nurse Complex Case Manager
Builds
Coordinated discharge plans and care transitions for clinically complex patients
Domain
Healthcare / Case Management
Deliverable
client delivery
Required skills
Patient assessment, care plan development, discharge planning, data analysis, regulatory compliance, utilization review, mentorship, community resource coordination, age-specific care assessment
Preferred skills
None stated
Technologies
Electronic health record, MS Office
Responsibilities
Perform thorough patient assessments and implement targeted interventions; aggregate and analyze patient outcome data; provide continuity of care and discharge planning; offer advanced clinical guidance and mentorship to frontline staff; advocate for patients and families; initiate internal and external referrals; document discharge planning and utilization reviews; lead multidisciplinary rounds; collaborate with physicians and community agencies; apply knowledge of Medicare guidelines and managed care requirements
Seniority
Senior, hands-on IC with mentorship responsibilities