nurse case manager

TemPositions

Job description: We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our Social Service Health Care Team. As a Registered Nurse Case Manager, you will be responsible for providing comprehensive patient care and coordinating services for the people we support. Your expertise in managed care, patient assessment, and medical terminology will be essential in ensuring the well-being of our patients. Key Responsibilities: <ul><li>Provide direct nursing care and clinical oversight for individuals with developmental disabilities in accordance with OPWDD guidelines.</li><li>Administer prescribed medications and treatments, monitor for side effects, and maintain accurate medical records.</li><li>Conduct health assessments and respond to medical emergencies as needed.</li><li>Collaborate with interdisciplinary teams, including DSPs, medical providers, therapists, and family members.</li><li>Develop and update individualized nursing care plans and contribute to person-centered service planning (ISP).</li><li>Educate staff on health-related issues, proper medication administration, infection control, and other medical protocols.</li><li>Administers medications when appropriate, and supervises AMAP certified staff in medication administration. Supervises all medication prescribed for individuals in accordance with agency policies.</li><li>Provides supervision and training for Licensed Practical Nurses and/or less experienced.</li><li>Provides immediate first aid with referral to outside emergency services or private physician.</li></ul> Experience: <ul><li>Minimum of 1 years of experience as a Registered Nurse in a clinical setting</li><li>Experience in managed care or case management is highly preferred</li><li>Strong knowledge of medical terminology, physiology, and medical records management</li><li>Ability to assess patient needs and develop comprehensive care plans</li><li> Experience working with diverse patient populations, including pediatrics and behavioral health </li><li>Familiarity with emergency room protocols and procedures</li></ul> We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. Required <ul></ul> Preferred <ul></ul> Job Industries <ul><li> Healthcare </li></ul>

Nurse Case Manager

St. Croix Hospice

<div>At St. Croix Hospice, we believe in the power of compassionate care. Like the river that inspired our name and takes great skill to navigate, St. Croix Hospice guides patients and their families through the end-of-life journey. We are committed to ensuring the highest quality of life for our patients, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of our deeply compassionate family of caregivers guiding extraordinary life experiences, then we invite you to join our team, where your work truly matters.
As a Registered Nurse Case Manager, you will be the heart of our care model, providing 1:1 holistic support to patients and families in their homes. You&rsquo;ll partner with an interdisciplinary team to develop individualized care plans, guide end-of-life conversations, and ensure comfort with professionalism and empathy.
If you're a compassionate Registered Nurse who values meaningful patient connections and autonomy in your practice, we&rsquo;d love to meet you.
Registered Nurse Case Manager Requirements &amp; Responsibilities:
<ul><li>Associates, Bachelors, or Masters of an accredited nursing program (RN)
</li><li>1+ years of recent acute care experience required; hospice/home health experience preferred
</li><li>Complete initial and ongoing comprehensive assessments to determine hospice needs
</li><li>Develop individualized care plans with the patient and family, updating as needs evolve
</li><li>Administer medications and treatments as prescribed
</li><li>Educate patients and caregivers on care techniques, medications, diet, and symptom management
</li><li>Rotate on-call duties and ensure seamless care transitions
</li><li>Must have reliable transportation, valid driver&rsquo;s license, and proof of auto insurance
</li></ul>Benefits &amp; Schedule:
<ul><li>Schedule: 8:00am to 5:00pm, Full-time position with on-call expectations
</li></ul><ul><li>Health, dental, vision, and life insurance
</li><li>Company-paid short/long-term disability and basic life insurance
</li><li>401(k) with up to 4% company match
</li><li>Tuition reimbursement and professional development opportunities
</li><li>Paid time off and paid holidays
</li></ul>The starting salary range for this role is $75,000-$101,000 annual base salary. An employee&rsquo;s actual annual salary will be based on but not limited to: geographic location, relevant education, applicable certifications, depth of experience, and special skillsets. The total compensation package for this position may also include the opportunity to participate in employee benefits including our medical/dental/vision/pet insurance, disability and life insurance, paid time off, and 401(k) retirement plans, subject to applicable plan terms, and/or eligibility for other compensation.</div>

Registered Nurse Case Manager

Elevance Health

<div>
 
 Location:
 
 New York. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
 
 
 Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
 
 
 ** Candidate does not need to be located in New York, but must be licensed in New York**
 
 
 The
 
 Nurse Case Manager I
 
 responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
 
 
 
 How You Will Make An Impact
 
 
 
 <ul>
 <li>
 Ensures member access to services appropriate to their health needs.
 </li>
 <li>
 Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
 </li>
 <li>
 Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
 </li>
 <li>
 Coordinates internal and external resources to meet identified needs.
 </li>
 <li>
 Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
 </li>
 <li>
 Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
 </li>
 <li>
 Negotiates rates of reimbursement, as applicable.
 </li>
 <li>
 Assists in problem solving with providers, claims or service issues.
 
 
 </li>
 </ul>
 
 Minimum Requirements
 
 
 
 <ul>
 <li>
 Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states.
 
 
 </li>
 </ul>
 
 Preferred Skills, Capabilities And Experiences
 
 
 
 <ul>
 <li>
 Certification as a Case Manager is preferred.
 </li>
 <li>
 HIP experience preferred.
 
 
 </li>
 </ul>
 For candidates working in person or virtual in the below location(s), the salary* range for this specific position is $65,600- $118,080
 
 
 Locations: New York
 
 
 In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws
 
 .
 
 
 
 <ul>
 <li>
 The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company&rsquo;s sole discretion, consistent with the law.
 
 
 </li>
 </ul>
 Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
 
 
 Who We Are
 
 
 Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
 
 
 How We Work
 
 
 At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
 
 
 We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
 
 
 Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
 
 
 The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
 
 
 Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
 
 
 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
</div>

Nurse Case Manager I

The IMA Group

<div>
 
 Description
 
 
 
 
 Company Overview:
 
 
 
 Orchard Medical Consulting, an IMA Group Company, is a leading medical organization committed to providing high-quality, comprehensive medical assessments across various specialties. With a focus on occupational health, disability evaluations, and healthcare assessments, we strive to deliver exceptional care and support to our claimants.
 
 
 
 Job Summary:
 
 
 
 We are seeking a compassionate and experienced Nurse Case Manager to support individuals with work-related injuries. Our ideal candidate will conduct consultative exams, assessing both physical and psychological aspects without administering medical treatment. Our team of providers manage evaluations, screenings, and case management for Insurance Carriers, TPAs, Public Entities, and Employers.
 
 
 
 
 Must be able to travel throughout metro Phoenix and occasionally up to four hours to outlying areas. Reliable transportation required.
 
 
 
 
 
 Responsibilities:
 
 
 
 <ul>
 <li>
 Deliver tailored services for individuals affected by work-related injuries.
 </li>
 <li>
 Work closely with physicians and claims adjusters to craft efficient and budget-friendly treatment strategies.
 </li>
 <li>
 Foster and maintain robust relationships with our client base.
 </li>
 <li>
 Act as an essential liaison connecting patients with their healthcare providers.
 
 
 </li>
 </ul>
 
 Qualifications:
 
 
 
 <ul>
 <li>
 Associates of Science degree in Nursing (ASN) or higher-level nursing degree.
 </li>
 <li>
 Proven clinical experience, ideally in ICU, ER, Trauma, Ortho, and/or Neurology.
 </li>
 <li>
 Prefer experienced Workers Compensation NCM and fluency in Spanish.
 
 
 </li>
 </ul>
 
 Benefits:
 
 
 
 <ul>
 <li>
 Complete Health Coverage: Comprehensive Health, Dental, and Vision Insurance packages to ensure your well-being.
 </li>
 <li>
 Balanced Lifestyle: Enjoy paid time off, holidays, and a floating holiday to maintain a healthy work-life balance.
 </li>
 <li>
 Comprehensive Coverage: Benefit from LTD, STD, Flexible Spending Account, Company-paid Life Insurance, and ADD coverage.
 </li>
 <li>
 Stress-Free Environment: No on-call responsibilities ensure a stress-free work atmosphere.
 
 
 </li>
 </ul>
 
 
 The IMA Group is an Affirmative Action/Equal Opportunity Employer
 
 
 
 
 Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.
 
 
</div>

Nurse Case Manager- Phoenix, AZ

<div>The Registered Nurse Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Patient Care
<ul><li>Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness.
</li><li>Provides professional nursing care by utilizing all elements of nursing process.
</li><li>Assesses and evaluates patient&rsquo;s status by:
</li><li>Writing and initiating plan of care
</li><li>Regularly re-evaluating patient and family/caregiver needs
</li><li>Participating in revising the plan of care as necessary
</li><li>Initiates the plan of care and makes necessary revisions as patient status and needs change.
</li><li>Uses health assessment data to determine nursing diagnosis.
</li><li>Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
</li><li>Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician&rsquo;s plan of care.
</li><li>Counsels the patient and family in meeting nursing and related needs.
</li><li>Provides health care instructions to the patient as appropriate per assessment and plan.
</li><li>Assists the patient with the activities of daily living and facilitates the patient&rsquo;s efforts toward self-sufficiency and optional comfort care.
</li><li>Acts as RN Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
</li></ul>Communication
<ul><li>Completes, maintains, and submits accurate and relevant clinical notes regarding patient&rsquo;s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
</li><li>Communicates with the physician regarding the patient&rsquo;s needs and reports changes in the patient&rsquo;s condition; obtains/receives physicians&rsquo; orders as required.
</li><li>Communicates with community health related persons to coordinate the care plan.
</li><li>Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
</li><li>Provides and maintains a safe environment for the patient.
</li></ul><ul><li>Assists the patient and family/caregiver and other team members in providing continuity of care.
 
</li><li>Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
 
</li><li>Attends interdisciplinary group meetings.
</li></ul>Additional Duties<ul><li>
Participates in on-call duties as defined by the on-call policy.
</li><li>Ensures that arrangements for equipment and other necessary items and services are available.
</li><li>Supervises ancillary personnel and delegates responsibilities when required.
</li><li>Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
</li><li>Fulfills the obligation of requested and/or accepted case assignments.
</li><li>Actively participates in quality assessment performance improvement teams and activities.
</li></ul>We offer amazing benefits including growth opportunities! We have career opportunities both locally and regionally and many of our leaders have grown from within the company and truly understand how vital each role is in creating quality care.<ul><li>
The opportunity to work 1-1 with our patients, impacting their life and their families.</li><li>
Two medical plan choices</li><li>
Dental, vision and life insurance benefits</li><li>
Tuition reimbursement</li><li>
Customized Mental Health Support Program</li><li>
Employee Assistance Program
</li><li>Paid time off and paid holidays</li><li>
401k Retirement Plan with up to 4% employer matching
</li><li>Flexible Spending Account (FSA)</li><li>
Company-paid Basic Life Insurance, AD&amp;D, Short Term and Long-Term Disability</li><li>
nVoq (voice to text dictation) - not available at all locations</li><li>
Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care preferred.
</li><li>Current licensure in State.
</li><li>Management experience not required. Responsible for supervising hospice aides.
</li><li>Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
</li><li>Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.
</li><li>Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.</li></ul></div>

Registered Nurse (RN) Case Manager

Martha & Mary

<div><h2 class="jobSectionHeader">Case Manager / Admissions Nurse (RN or LPN)</h2>
Location: Martha &amp; Mary 
Status: Exempt | Full-Time 
Pay Range: $85,000 - $95,000 annually depending on applicable experience<h3 class="jobSectionHeader">
About Martha &amp; Mary</h3>
At Martha &amp; Mary, we are called to bridge generations and enrich lives. Our team is committed to providing compassionate, coordinated, and high-quality care to those we serve. If you are a skilled nurse with a passion for care coordination, advocacy, and collaboration, we invite you to join our mission-driven organization.
Position Summary
The Case Manager / Admissions Nurse oversees, manages, and coordinates the care experience for residents and patients from admission through discharge. Serving as the primary point of contact for care coordination, this role ensures seamless communication across interdisciplinary teams, external providers, residents, and families.
The Case Manager plays a critical role in utilization management, discharge planning, quality outcomes, and patient advocacy while also providing leadership and oversight to licensed nursing staff and NACs. This position functions as an exempt role and requires flexibility to meet the needs of residents and patients.<h3 class="jobSectionHeader">
Key Responsibilities</h3><h4 class="jobSectionHeader">
Care Coordination &amp; Clinical Oversight</h4><ul><li>
Coordinate and integrate case management and social service functions into individualized plans of care and discharge planning.</li><li>
Conduct medical record reviews, utilization reviews, and quality assessments from admission through discharge.</li><li>
Oversee direct provision of care and ensure evidence-based practices are delivered.</li><li>
Conduct Care Conferences, Warm Handovers, interdisciplinary rounds, and family conferences.</li><li>
Assist with admission assessments, orders, and paperwork per DNS direction.</li><li>
Coordinate admissions, discharges, transfers, and bed management with nursing leadership and admissions teams.</li><li>
Communicate with primary care providers, hospital partners, and external specialists throughout the resident stay.</li><li>
Initiate and present NOMNOC (denial) letters as appropriate.</li></ul><h4 class="jobSectionHeader">
Collaboration &amp; Communication</h4><ul><li>
Work closely with internal partners including Nursing Leadership, Social Work, Rehab Services, MDS, HIM, A/R, Therapists, and Operations.</li><li>
Collaborate with external stakeholders such as family members, hospitals, discharge planners, HMOs, physicians, home health agencies, and other providers.</li><li>
Serve as a resident and patient advocate, ensuring informed decision-making and family education.</li></ul><h4 class="jobSectionHeader">
Utilization, Compliance &amp; Quality</h4><ul><li>
Monitor RUG utilization, PDPM outcomes, and appropriate service use.</li><li>
Conduct reviews related to falls, wounds, medication errors, readmissions, pharmacy discrepancies, and other quality indicators.</li><li>
Ensure appropriate testing, timely results, and adherence to regulatory and payer requirements.</li><li>
Participate in weekly Case Management meetings and continuous quality improvement initiatives.</li></ul><h4 class="jobSectionHeader">
Leadership &amp; Supervision</h4><ul><li>
Provide day-to-day leadership, guidance, and supervision to Licensed Nurses and NACs.</li><li>
Participate in hiring, performance management, coaching, and employee development in alignment with organizational values.</li><li>
Troubleshoot care concerns, complaints, and conflicts, escalating to DNS or Operations leadership as needed.</li></ul><h4 class="jobSectionHeader">
Additional Duties</h4><ul><li>
Perform medication destruction and disposal oversight.</li><li>
Assist nursing staff with care activities as needed.</li><li>
Perform all regular RN or LPN duties per licensure and job description.</li></ul><h3 class="jobSectionHeader">
General Expectations</h3><ul><li>
Support and uphold Martha &amp; Mary&rsquo;s mission, vision, and values.</li><li>
Maintain confidentiality and professionalism at all times.</li><li>
Demonstrate reliability, flexibility, and strong teamwork.</li><li>
Manage multiple priorities in a fast-paced, changing environment.</li><li>
Approach challenges with initiative, diplomacy, and a sense of humor.</li><li>
Exhibit a genuine interest in caring for the elderly and long-term care residents.</li></ul><h3 class="jobSectionHeader">
Required Qualifications</h3>
Education<ul><li>
Associate Degree required</li><li>
Bachelor&rsquo;s Degree preferred</li></ul>
Licensure<ul><li>
Current RN or LPN license in the State of Washington (required)</li></ul>
Experience<ul><li>
Sub-acute care or Skilled Nursing experience preferred</li></ul>
Knowledge, Skills &amp; Abilities<ul><li>
Strong knowledge of Medicare, HMO contracts, MDS, PDPM utilization, and evidence-based practices</li><li>
Exceptional communication and customer service skills</li><li>
Highly organized with strong documentation abilities</li><li>
Ability to collaborate effectively with interdisciplinary teams</li><li>
Proficiency with MS Office Suite and healthcare systems including Answers on Demand, ADP, DocSTAR, FaxCORE, and mobile technology</li><li>
Ability to safely use medical devices and equipment</li></ul><h3 class="jobSectionHeader">
Why Join Martha &amp; Mary?</h3><ul><li>
Mission-driven, values-based culture</li><li>
Collaborative interdisciplinary team environment</li><li>
Opportunity to make a meaningful impact on resident and family experiences</li><li>
Competitive compensation and comprehensive benefits</li></ul>
Benefits:
Martha &amp; Mary offers fair wages, competitive benefits and supportive work environments, where we become friends and family. We invite you to apply and become a part of one of Kitsap County's largest not-for profit employers. The following benefits/compensation are offered at Martha &amp; Mary.<ul><li>
Paid Time Off (PTO) is accrued at varying rates depending on length of employment. Accrual rates begin at 5.32 hours per month based on a 40-hour workweek. These accruals include the required sick leave per Washington State&rsquo;s Paid Sick Leave Law</li><li>
40% discount on child care services while working</li><li>
Comprehensive benefit package after 60 days to include medical, dental, vision and life insurance options for full time employees.
</li><li>Career advancement opportunities across multiple sites and departments</li><li>
403(b) Retirement Savings Plan is available immediately upon hire</li><li>
5 Paid Holidays</li><li>
Employee Assistance and Counseling for life&rsquo;s challenges outside of the workplace</li><li>
Cell phone, Health Club and Auto service discounts</li><li>
And much more</li></ul>
Martha &amp; Mary employee benefits and wages offered are reviewed annually and are intended to be fair, beneficial and competitive in today&rsquo;s market whether just entering our workforce or nearing retirement. Benefit offerings are based on employment status. Salary ranges, benefits and other compensation are subject to change.
Martha &amp; Mary is an Equal Opportunity Employer. 
We celebrate diversity and are committed to creating an inclusive environment for all employees.</div>

Case Manager / Admissions Nurse (Licensed Nurse) - MArtha & Mary

BOONE MEMORIAL HOSPITAL

<div>Summary
The Case Manager (RN) serves as a care coordinator for patients and families throughout the hospitalization and transition of care process. This role focuses on discharge planning, psychosocial assessment, coordination of post-acute services, and patient advocacy to ensure safe, timely, and effective transitions across the continuum of care. The Case Manager collaborates with physicians, nursing staff, patients, families, and community resources to support patient-centered care and continuity of services.
<div>Essential Functions</div>
Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.<ul><li>
Coordinates patient care and discharge planning from admission through discharge to ensure continuity of care.</li><li>
Collaborates with physicians, nursing staff, and interdisciplinary team members to develop and implement individualized care and discharge plans.</li><li>
Meets directly with patients and families to assess medical, psychosocial, cultural, spiritual, and support needs.</li><li>
Coordinates referrals to appropriate community resources, social services, home health agencies, extended care facilities, rehabilitation services, and other support organizations.</li><li>
Facilitates discharge planning arrangements including long-term care placement, home health services, medical equipment, meal delivery, and in-home assistance programs.</li><li>
Participates in patient care conferences and interdisciplinary meetings as required.</li><li>
Encourages patient and family involvement in care planning and decision-making.</li><li>
Provides crisis intervention and support services as needed, including involvement in Emergency Department situations when appropriate.</li><li>
Maintains timely, accurate, and complete documentation of discharge planning and care coordination activities in the medical record.</li><li>
Communicates effectively with all departments to ensure patient needs are met and discharge barriers are addressed.</li><li>
Supports patient rights, dignity, and respectful care at all times.</li><li>
Maintains ongoing communication with referral sources and community partners.</li><li>
Participates in performance improvement and quality initiatives related to case management and patient outcomes.</li><li>
Assists with swing bed services and utilization review activities as assigned.</li><li>
Performs other duties as assigned.</li></ul><div>
Required Skills, Qualifications, and Competencies</div><ul><li>
Current, unrestricted Registered Nurse (RN) license required.</li><li>
Clinical nursing experience required; experience in case management, discharge planning, or care coordination preferred.</li><li>
Strong communication, collaboration, and organizational skills.</li><li>
Ability to assess and address psychosocial, cultural, and spiritual needs of patients and families.</li><li>
Working knowledge of community resources, post-acute care services, and discharge planning processes.</li><li>
Proficient in electronic health records and clinical documentation systems.</li><li>
Demonstrates professionalism, sound judgment, and a commitment to patient advocacy.</li></ul><div>
Supervisory Responsibilities
</div><ul><li>None</li></ul>
<div>Physical demands</div><ul><li>
Primarily an office-based position with intermittent presence in patient care areas.</li><li>
Requires the ability to sit, stand, and walk for extended periods of time.</li><li>
Requires the ability to bend, stoop, reach, and move between offices and patient care areas as needed.</li><li>
May require occasional lifting of up to 15 pounds, such as files, supplies, or equipment.</li><li>
Requires visual acuity and the ability to communicate effectively in person and by telephone.</li><li>
May require availability for on-call or emergent situations as needed.</li></ul><div>
Travel required
</div><ul><li>None</li></ul>
<div>Education and experience</div><ul><li>
Graduate of an accredited school of nursing required.</li><li>
Current, unrestricted Registered Nurse (RN) license in the state of employment required.</li><li>
Minimum of two years of clinical nursing experience required.</li><li>
Experience in discharge planning, case management, care coordination, or swing bed services preferred.</li><li>
Experience in an acute care or hospital setting preferred.</li><li>
CCM Certification preferred.</li></ul><div>
Other Duties</div>
Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time.
<div>Equal Employment Opportunity Policy Statement
</div>Boone Memorial Hospital, Inc. provides equal employment opportunities to all personnel and applicants for employment and prohibits discrimination, harassment, prejudice, or behavior of any type based on race, color, religion, age, sex (including pregnancy), national origin, disability status, family medical history or genetic information, past or present military service, sexual orientation, gender identity or expression, family or parental status, political affiliation, or any other characteristic protected by federal, state or local laws.</div>

Case Manager (RN)

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