Registered Nurse, Care Manager

Kent Hospital; Warwick; On-site; GBP 35,000 - 50,000; Full time

Job summary

A prominent healthcare facility is seeking an RN Care Manager responsible for utilization management and case management for various patients. The ideal candidate will have experience collaborating with healthcare teams, strong communication skills, and relevant nursing qualifications. This role offers the opportunity to contribute significantly to patient care transitions and discharge processes while ensuring compliance with healthcare standards.

Qualifications

• Minimum of 3 to 5 years of related clinical experience as a Registered Nurse.
• Rhode Island Registered Nurse license required.
• Certification in Case Management must be earned within 48 months if hired after January 01, 2016.

Responsibilities

• Perform utilization management, case management, and discharge planning activities.
• Collaborate with healthcare teams to assess patients' transition/discharge planning needs.
• Prevent unnecessary admissions/readmissions and facilitate timely transitions/discharges.

Skills

Communication skills

Ability to interpret medical data

Knowledge of Care Management

Education

Bachelors of Science in Nursing

Nursing Care Management Certificate

Tools

EMR

Microsoft Office

Job description

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Primary Function:

The RN Care Manager (RN CM) performs utilization management, case management, and discharge planning activities for acute care and extended care patients, including ambulatory and emergency department patients. The RN Care Manager collaborates with healthcare teams to assess patients' transition/discharge planning needs, actively prevent unnecessary admissions/readmissions, and facilitate timely transitions/discharges.

Job Qualifications and Specifications:

• Hired after January 01, 2016: Bachelors of Science in Nursing from an accredited institution.
• Must have and maintain a Rhode Island Registered Nurse license.
• Minimum of 3 to 5 years of related clinical experience as a Registered Nurse.
• Prior acute care Case Management experience preferred.
• Knowledge of Care Management through a Nursing Care Management Certificate or demonstrated current knowledge via pre-hire assessment.
• Certification in Case Management (CCM or ACM) must be earned within 48 months of employment if hired after January 01, 2016.
• Effective communication skills with physicians and team members, including documentation and influencing skills.
• Ability to interpret medical data.
• Knowledge of utilization management, quality management, and third-party payers is preferred.
• Training in multiple computer systems (e.g., EMR, Microsoft Office) required.
• Participation in weekend and holiday coverage rotation; flexibility to cover as needed.

About Care New England Health System:

Care New England and its member institutions, including Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and others, are leading organizations in medical research and healthcare services.

Legal and Ethical Statements:

• Americans with Disabilities Act Statement: Applicants and employees with disabilities must be able to perform essential job functions with or without accommodations.
• EEOC Statement: Care New England is an equal opportunity employer, considering all applicants without discrimination.
• Ethics Statement: Employees must conduct themselves according to the organization's ethical standards, policies, and values.