Case Manager

Personal Touch Home Health Care Services Inc.; Madison (WI); On-site; USD 75,000 - 110,000; Full time

Job summary

Personal Touch Home Health Care Services Inc. in Madison seeks a Case Manager Registered Nurse to coordinate patient care across settings and ensure safe transitions.

You will assess clinical and psychosocial needs, develop individualized care plans, advocate for patients, perform utilization review, maintain documentation, and educate families on care options, while ensuring compliance with payer policies.

Qualifications

• Current RN licensure and strong clinical assessment and care planning skills.
• Knowledge of utilization review, documentation standards, and compliance expectations.
• Strong communication, coordination, and advocacy abilities.
• Ability to work effectively with diverse patient populations and multidisciplinary teams.

Responsibilities

• Assess clinical and psychosocial needs and develop individualized care plans
• Coordinate and collaborate with physicians, hospitals, schools, and community providers
• Advocate for patients and families to support patient-centered care
• Perform utilization review and support appropriate, high-quality care
• Maintain accurate documentation and communicate care options
• Provide education to patients and families regarding care plans and next steps
• Ensure compliance with regulatory requirements and payer policies

Skills

RN licensure

Utilization review

Documentation standards

Compliance knowledge

Communication

Team coordination

Job description

Case Manager Registered Nurse coordinates patient care across care settings to ensure safe, effective transitions and optimal outcomes.

Key Responsibilities

• Assess clinical and psychosocial needs and develop individualized care plans
• Coordinate and collaborate with physicians, hospitals, schools, and community providers
• Advocate for patients and families to support patient-centered care
• Perform utilization review and support appropriate, high-quality care
• Maintain accurate documentation and communicate care options
• Provide education to patients and families regarding care plans and next steps
• Ensure compliance with regulatory requirements and payer policies

Qualifications & Skills

• Current RN licensure with strong clinical assessment and care planning skills
• Knowledge of utilization review, documentation standards, and compliance expectations
• Strong communication, coordination, and advocacy abilities
• Ability to work effectively with diverse patient populations and multidisciplinary teams