Case Manager Nurse

Job Description

Job Description

Are you seeking PRN career opportunities as a Case Manager Nurse with your current employer? We are thrilled to present an exciting chance for you to become part of our organization, a leader in healthcare services.

Position Overview and Qualifications

Case Manager Nurse

The Registered Nurse (RN) Case Manager plays a crucial role in fostering patient-centered care by coordinating the care plan throughout the patient's stay. This includes managing the duration of the stay, ensuring effective resource management, and collaborating with a multidisciplinary team to create a safe and suitable discharge plan. The RN Case Manager facilitates care transitions and progression using established criteria, while also promoting quality outcomes and patient throughput, balancing optimal care with appropriate resource utilization.

Key Responsibilities

• Deliver case management services for both inpatient and observation patients as assigned.
• Identify patients at risk for adverse outcomes during transitions between different levels of care.
• Conduct comprehensive assessments of patients' psychosocial, medical, and discharge needs, along with evaluating available resources for patients and families.
• Reassess patients' clinical conditions as necessary, considering readmission risks and developing strategies to mitigate them, including education on accessing healthcare resources and preventative measures.
• Coordinate care plans and drive discharge planning by collaborating with the healthcare team, particularly the patient's physician, to ensure smooth transitions.
• Work alongside Social Services to confirm that post-acute medical needs and levels of care are appropriate.
• Take responsibility for timely referrals to Social Services when psychosocial health risk factors are identified.
• Engage patients and their families in identifying needs and expectations to establish mutual and realistic goals.
• Evaluate care progression using evidence-based tools and approved criteria (InterQual) throughout the care episode, escalating issues through the established chain of command as needed.
• Make appropriate referrals to third-party payers and disease management programs for patients with chronic conditions or recurring needs.
• Facilitate patient throughput with a focus on effective care transitions, quality, and efficiency.
• Document professional recommendations, discharge plans, care coordination interventions, and case management activities to ensure clear communication among the healthcare team.
• Align patient needs with available resources to guarantee a safe discharge and transition.
• Adhere to the organization’s “Code of Conduct” and “Mission and Value Statement.”

Qualifications

• Current RN License (required).
• Associate Degree in Nursing or Nursing Diploma (required).
• Bachelor’s Degree in Nursing (preferred).
• Minimum of 2 years of experience in case management or 3 years in clinical nursing (required).
• Experience with InterQual (preferred).

Benefits

Our organization offers a comprehensive rewards package designed to support the health, life, career, and retirement of our team members. Available plans and programs may include:

• Comprehensive benefits for medical, prescription drugs, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support , including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, short- and long-term disability coverage, and leaves of absence.
• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, and scholarships.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, and more.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location and position.

Our facility proudly serves the community and offers comprehensive medical care for both adults and children, including emergency and surgical services. Our dedicated medical staff comprises around 500 physicians across more than 45 specialties, many of whom have offices on-site. We are committed to delivering quality patient care with compassion and comfort in our modern facility.

"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr.

If you are seeking a fulfilling opportunity that encourages personal growth, we invite you to apply for the Case Manager Nurse position. All applications will be reviewed, and qualified candidates will be contacted for interviews. Unlock your potential and apply today!

We are an equal opportunity employer and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.