Care Manager RN

Community Health Systems; Poplar Bluff (MO); On-site; USD 75,000 - 105,000; Full time

Job summary

Community Health Systems is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities. You will review records for medical necessity, collaborate with interdisciplinary teams, and ensure compliance with standards.

The role requires an Associate Degree in Nursing with 2–4 years of clinical nursing experience. Bachelor’s in nursing is preferred. Strong communication, EMR proficiency, and organizational skills are essential for success.

Qualifications

• Requires RN licensure in state of employment or multi-state license
• ACM/ CCM preferred but not required
• 2–4 years clinical nursing experience in hospital/home health/nursing home settings is typical

Responsibilities

• Coordinate and oversee discharge planning and transitions of care
• Review medical records for appropriateness and medical necessity
• Collaborate with interdisciplinary teams to optimize patient outcomes
• Develop and implement discharge plans and post-hospital care options
• Maintain timely documentation of case management activities and referrals

Skills

Case management

Discharge planning

Interdisciplinary collaboration

EMR proficiency

Communication skills

Time management

Problem solving

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

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