Care Manager RN FT

Northwest Medical Center Tucson; Tucson (AZ); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Tuition reimbursement

Licensure/certification renewal

Student loan repayment up to $20K

Job summary

Northwest Medical Center Tucson is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities to drive optimal patient outcomes. You will collaborate with interdisciplinary teams, review records for medical necessity, and ensure compliance with standards.

The role emphasizes coordination of care from admission through post-hospital options, with focus on patient safety and timely care transitions in a busy hospital setting.

Qualifications

• 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.

Responsibilities

• Coordinate discharge planning and transitions of care through interdisciplinary collaboration.
• Review medical records for appropriateness and medical necessity.
• Serve as liaison between patients, families and healthcare staff to ensure timely care.

Skills

Case management

Discharge planning

Transitions of care

EMR documentation

Communication

Education

Bachelor's in Nursing (preferred)

Tools

EMR systems

Job description

Position Overview

Full Time position, working Day shift in Care Management / Case Management at Northwest Medical Center in Tucson, AZ

What You’ll Do

Coordinates services through an interdisciplinary process which provides a clinical and psychosocial approach through the continuum of care and is assigned to a department or departments. Assists in development, planning, coordination and administration of the activities of clinical review, discharge planning, resource utilization and utilization review. Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively.

What We Offer

Our nurses enjoy a robust benefits package including health insurance, flexible scheduling, 100% licensure/certification renewal reimbursement, Tuition Reimbursement, and up to $20K for student loan payments.

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.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 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
• BLS - Basic Life Support preferred

Equal Opportunity Employer: race, gender, disability, Veteran status, and VEVRAA Federal Contractor – priority referral Protected Veterans requested.