Care Manager RN

Medical Center Enterprise; Enterprise (AL); On-site; USD 65,000 - 85,000; Full time

Job summary

Medical Center Enterprise is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management for optimal patient outcomes.

The role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness, and ensuring compliance with standards and regulations.

Qualifications

• Associate Degree in Nursing required.
• Bachelor's Degree in Nursing preferred.
• 2-4 years of clinical nursing experience in hospital, home health, or nursing home setting required.
• 2-4 years of care management experience preferred.

Responsibilities

• Conduct daily reviews of medical records for admission and utilization decisions.
• Collaborate with IDT to ensure care coordination and avoidable days reduction.
• Develop discharge plans and coordinate post-hospital placement and services.
• Refer cases to physicians/managers when criteria are not met.
• Liaise with community agencies to support transitions.
• Lead interdisciplinary meetings to plan and address care needs.
• Document case management activities accurately and timely.
• Assist patients, families, and physicians with discharge options.
• Perform other duties as assigned and maintain reliability.
• Adhere to policies and standards in all tasks.

Skills

Case management

Discharge planning

Transitions of care

Communication

Interdisciplinary collaboration

EMR documentation

Time management

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing preferred

Tools

EMR systems

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.
• Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• 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 state licensure in state of employment or Compact state licensure required
• Accredited Case Manager (ACM) preferred
• CCM - Certified Case Manager preferred
• BLS - Basic Life Support preferred