RN Case Manager

Job Requisition ID: R00051788 Job Category: Nursing Organization: Adult Ambulatory Surgical Clinic, Urology, and Wound Management Location/s: UMMC Medical Pavilion Job Title: RN Case Manager Job Summary: To coordinate comprehensive care for a specific patient population, ensuring seamless, cost-effective, and high-quality patient care; to lead a multi-disciplinary team in delivering quality care to a designated patient group and their families; to evaluate patients for appropriateness of care and medical necessity; to assess and coordinate efforts to meet resource management goals, enhance patient outcomes, and monitor the cost-effectiveness of care; and to perform all job duties in accordance with the medical center’s mission and purpose. Education & Experience Education and Experience Required: One (1) year of nursing experience. Certifications, Licenses, or Registration required: Valid RN license Preferred Qualifications: RN case management certification preferred. Knowledge, Skills & Abilities Knowledge, Skills, and Abilities: Knowledge and understanding of patient care for a specified population.Verbal and written communication skills.Interpersonal skills.Knowledge and understanding of computer systems. Ability to work in a team environment. Ability to multi-task. Problem solving skills. Organizational and time management skills. Responsibilities Performs and documents a comprehensive assessment for a specified group of patients whose diagnosis; procedures; and social, psychological, or financial needs indicate they would benefitfrom case management. Participates in the coordination and development of a plan of care with patients, family, and the interdisciplinary team. Reassesses and documents clinical needs and case management interventions. Facilitates coordination, timeliness, and appropriate resource for the patient’s need. Coordinates and implements specific case management activities or interventions to achieve the goals set forth in the case management plan. Exhibits a positive and professional attitude as exhibited in behavior and productivity. Leads case management activities within specific patient/service populations. Monitors patient progress to determine the effectiveness of interventions and the interdisciplinary plan and impacts a change in the plan at the patient’s condition or circumstances change. Evaluates appropriateness and medical necessity of the plan of care. Facilitates actions to move patients to the appropriate level of care as indicated. Collaborates with the social worker and other team members to discuss patients in need of services, resources, or support. Utilizes reports, data, and schedules to evaluate measures required to reflect. The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time. Physical and Environmental Demands Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, frequent exposure to bio-hazardous conditions such as risk of radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional activities subject to significant volume changes of a seasonal/clinical nature, frequent work produced subject to precise measures of quantity and quality, frequent bending, occasional lifting and carrying up to 75 pounds, frequent climbing, frequent crouching/stooping, occasional driving, occasional kneeling, frequent pushing/pulling, frequent reaching, frequent sitting, frequent standing, frequent twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more) Time Type: Full time FLSA Designation/Job Exempt: Yes Pay Class: Salary FTE %: 100 Work Shift: Day Benefits Eligibility: Grant Funded: No Job Posting Date: 07/21/2026 Job Closing Date (open until filled if no date specified): #J-18808-Ljbffr