Job Description
**Job Summary**
The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.
**Essential Functions**
+ Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
+ Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
+ Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
+ Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
+ Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
+ Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
+ Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
+ Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
+ Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing required
+ Bachelor's Degree in Nursing preferred
+ 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
+ 2-4 years of care management experience preferred
**Knowledge, Skills and Abilities**
+ Strong understanding of case management principles, discharge planning, and transitions of care.
+ Knowledge of federal, state, and Joint Commission standards related to case management.
+ Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
+ Ability to assess complex situations, identify solutions, and implement care plans efficiently.
+ Proficiency in electronic medical records (EMR) and documentation systems.
+ Strong organizational and time management skills to prioritize tasks in a dynamic environment.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required
+ BCLS - Basic Life Support required
**State Specific Requirements**
+ Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
+ New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
Job Tags
Local area,
Similar Jobs
Ability Rehabilitation
...Ability Rehabilitation has an exciting sales and marketing opportunity for a Physician Liaison. The candidate will cover five to six clinic locations in Tampa and West Orlando. As our Physician Liaison, you will work closely with our talented clinic leaders to grow...
Medcor Inc
Medcor is currently looking for a Certified Medical Assistant to provide high-quality clinical administrative care in our employer based clinic in Waterloo, IA. The clinic performs urgent care in addition to treating work place injuries. The hours for this position are...
CameronCraigGroup
...We are Recrutiing on Purpose a Sr. Structural Engineer with Nuclear or Power Plant Design Experience for our client's Atlanta Office. Certainly! Here's an enhanced and professional version of your job description for the Senior Structural Engineer position with...
Squeegee Squad of Wichita
...About Us: Squeegee Squad of Wichita is a professional cleaning service specializing in a range of high-quality exterior cleaning solutions. We pride ourselves on delivering exceptional results and fostering a culture of teamwork and growth. Join us and be part of a company...
SFI Health
...analytics and insights Experience with CRM systems (e.g., Salesforce, HubSpot) Preferred Familiarity with statistical analysis and... ...tools (e.g., SQL, Excel, Tableau, Power BI). Expert-level skills in Excel, including the ability to write Visual Basic code...