Case Manager

SUMMARY Reports to the Manager or Director of Case Management. Provides coordinated care support to facilitate and expedite patient care services. Participates in daily rounds and collaborates with the clinical healthcare team across the patient care continuum to include preadmission and post hospital discharge. Shares responsibility for the implementation of the discharge plan, ensuring efficient delivery of patient care services. RESPONSIBILITIES Partner with medical staff and other members of the healthcare team to facilitate the plan of care for a defined patient population. Identify high-risk patients within the caseload for care management assessment, screening, and target interventions within one business day of patient admission. Participate in daily care rounds to develop and implement the discharge plan and identify discharge readiness. Build post‑hospital referrals and send to the Transition Care Coordinator when indicated to facilitate timely discharge. Deliver important message follow‑up notices to all Medicare patients according to CMS regulations. Coordinate length of stay with the physician care team and inform the team of insurance qualifiers that may affect the discharge plan. Advocate for the patient and advise on financial implications of the discharge plan. Communicate the discharge plan, including post‑facility acceptance, to patients, families, and all members of the care team. Document final discharge disposition in progress notes and develop care reports for safe handovers. Act as a change agent by identifying opportunities to improve patient flow and reduce service delays through problem resolution and follow‑up. Participate in quality improvement activities such as OpX teams and interdisciplinary rounds to review readmission risks. Orient new staff as requested and contribute to ongoing professional education and affiliation activities. MINIMUM QUALIFICATIONS Registered Nurse licensed in the State of Rhode Island or by Nurse Licensure Compact. Bachelor’s Degree in Nursing. Certification in Case Management by a nationally recognized organization preferred. AHA BLS certification required. BASIC KNOWLEDGE & EXPERIENCE Graduate of a School of Nursing with current RN license, and strong knowledge of federal and state regulations. Three years of clinical experience, preferably recent experience in case management, community case management, patient navigation, or discharge planning. Strong analytical, interpersonal, and collaborative communication skills. Proficiency in Microsoft Office and basic keyboarding skills. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS General hospital environment with occasional stressful conditions associated with patient care. Must be able to make hospital rounds by walking or other mobile means; visual acuity and finger dexterity required for reviewing medical records and typing. Lifting up to 10 lbs. may be necessary. EQUAL OPPORTUNITY EMPLOYMENT STATEMENT Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. EMPLOYMENT DETAILS Location: Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 Work Type: M-F 8:00‑4:30, rotating weekends and holidays Pay Range: $90,417.60 – $146,640.00 Driving Required: No Union: United Nurses and Allied Professionals #J-18808-Ljbffr