Registered Nurse Case Manager

Monday–Friday Schedule | Acute Care Hospital | Make a Meaningful Impact Every Day Are you an experienced Registered Nurse who thrives on coordinating exceptional patient care while ensuring safe, efficient transitions from hospital to home? We're seeking a compassionate and detail-oriented RN Case Manager to join a collaborative healthcare team dedicated to delivering outstanding patient outcomes. This opportunity is based on the responsibilities outlined in the provided job description. In this role, you'll serve as a vital link between patients, providers, families, and community resources—helping ensure patients receive the right care, at the right time, in the most appropriate setting. What You'll Do Coordinate patient care throughout the continuum, from admission through discharge Develop individualized discharge plans that promote safe, timely transitions Conduct utilization reviews and medical necessity assessments using established clinical criteria Collaborate with physicians, nursing leadership, interdisciplinary teams, and payers to support quality care and appropriate reimbursement Coordinate post-acute services including home health, skilled nursing, hospice, DME, and other community resources Monitor denials, appeals, length of stay, and readmissions while identifying opportunities for process improvement Advocate for patients and families while ensuring compliance with CMS, payer, and regulatory requirements Participate in interdisciplinary rounds and quality improvement initiatives What We're Looking For Current Registered Nurse (RN) license 2+ years of clinical nursing experience Experience in Case Management, Utilization Review, Care Coordination, or Discharge Planning preferred CCM or ACM certification is a plus Strong clinical judgment, communication, and critical thinking skills Knowledge of payer requirements, medical necessity criteria, and care coordination best practices Ability to balance exceptional patient care with operational and financial stewardship Why You’ll Love This Opportunity Monday–Friday schedule with work‑life balance Collaborative interdisciplinary team environment Opportunity to make a direct impact on patient outcomes and care quality Leadership that values clinical expertise and professional autonomy Meaningful role with opportunities to contribute to quality improvement and organizational success JOB ID : 179180#post #J-18808-Ljbffr