RN Care Manager

We are seeking a Registered Nurse (RN) Case Manager to support inpatient, outpatient, and utilization management services within a care management department. Key Responsibilities Include Providing care coordination, discharge planning, and safe patient transitions across all age groups. Participating in multidisciplinary rounds and collaborating with providers, therapists, pharmacists, and social workers. Supporting outpatient care through referral management, transition of care, and home health coordination to reduce readmissions. Conducting utilization reviews, ensuring medical necessity, and working with insurance payors for billing and denials. Qualifications Include Graduate of an accredited nursing program with at least 1 year of relevant experience. Active RN license in the state of practice and CPR/BLS certification. Completion of required certifications and competencies, with preferred Bachelor's degree and bilingual skills (English/Spanish or other languages). Skills Required Excellent communication, collaboration, and organizational skills. Proficiency in electronic medical records (Cerner/Oracle), Microsoft Office, and electronic referral systems. Ability to work in clinical and remote environments, with flexibility for on-call, weekend, and holiday coverage. Additional Duties Include Supporting inpatient units and outpatient clinics, with some work performed in person and remotely. Attending multidisciplinary rounds and working closely with healthcare teams to ensure quality patient care. Join a dynamic team committed to patient-centered care and care coordination excellence. #J-18808-Ljbffr Aura Health