Job Summary The The RN Case Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management. The RN CM interacts with Medical, Nursing, and Ancillary department staff to facilitate
quality-based, cost-effective patient outcomes and ensure care is provided in the most appropriate setting.
Duties & Responsibilities - Transition of Care Planning
- Utilization Review
- Point of Entry and Emergency Department Duties, when applicable per assignment
- Utilization Review for POE/ED RN Case Manager
- Resource Allocation for POE/ED RN Case Manager
- Quality and Compliance
- Performs other duties as required
Requirements Must have and maintain license as Registered Nurse in Rhode Island. Minimum of 3 to 5 years related clinical and/or Case Management experience required. As of 1/1/16, Certification in Case Management (CCM or ACM) earned within 24 months of employment, prorated for part-time staff. Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions. Must have effective written communication. The ability to interpret medical data as documented. Utilization of level of care management, quality management, discharge planning, basic knowledge of third party payer or case management knowledge preferred. Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.) Participation in weekend and holiday coverage rotation. Flexibility to cover as needed.
WIH Internal Posting Period: 7/15/26-7/24/26
About Us Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
