Case Manager

Baylor St. Luke's Medical Group; Valley City (ND); On-site; USD 65,000 - 75,000; Full time

Job summary

CHI Mercy Health Valley City seeks a Case Manager to advocate for patients, coordinate comprehensive care plans, and support successful transitions for sustained well-being.

You will work with physicians, RNs, and teams to remove barriers, develop discharge plans, ensure medical necessity, and provide compassionate, evidence-based guidance.

Required: BSN or BSW and active RN or LSW license in North Dakota; prior case management experience preferred.

Qualifications

• Bachelor’s degree required in Nursing (BSN) or Social Work (BSW) or related field.
• Must hold a current licensed RN or LSW in North Dakota.

Responsibilities

• Analytical assessment to identify complex patient needs with interdisciplinary input.
• Coordinate high-risk care plans from pre-admission through post-discharge.
• Provide clinical counseling and actionable recommendations for treatment plans.
• Exercise clinical judgment to make timely decisions and ensure quality outcomes.
• Monitor regulatory criteria and optimize resource utilization.

Skills

Case management

Interdisciplinary collaboration

Clinical judgment

Communication skills

Education

Bachelor’s degree in Nursing or Social Work

Job description

Job Summary and Responsibilities

As a Case Manager, you will be a pivotal advocate, orchestrating comprehensive care plans and empowering patients and their families for successful transitions and sustained well-being.

Every day, you will expertly collaborate with physicians, RNs, departments, and community resources to identify and remove care barriers, develop personalized discharge plans, and ensure medical necessity, all while building trust through compassionate, critical thinking.

To be successful in this role, you will combine acute creative thinking and robust critical assessment skills with a deep commitment to patient advocacy, ensuring tailored solutions and optimal outcomes for every individual.

What you'll do...

• Analytical Assessment: Systematically gathers information to identify complex patient needs, recognizes interdependencies among issues, and incorporates interdisciplinary input for evidence-based decision-making.'
• Comprehensive Care Coordination: Manages high-risk care plans from pre-admission through post-discharge. Coordinates interdisciplinary teams to ensure seamless service delivery and resource allocation for complex, multi-need patients.
• Clinical Counseling & Support: Interviews patients and families to evaluate social, emotional, and economic factors; provides the care team with actionable recommendations for the patient’s treatment plan.
• Decisive Problem-Solving: Exercises sound clinical judgment to make timely, informed decisions, even in uncertain or high-pressure situations. Utilization & Quality Review: Consistently evaluates the appropriateness of care levels, diagnostic testing, and clinical procedures to mitigate risk and ensure high-quality outcomes.
• Resource Management: Monitors admission and continued-stay criteria against regulatory standards (e.g., Medicare, PRO) and implements communication strategies to optimize resource utilization.

Job Requirements

Required

• Bachelor’s degree in Nursing (BSN), Social Work (BSW), or a closely related field.
• Must hold a current, unencumbered license as a Registered Nurse (RN) or Licensed Social Worker (LSW) in the State of North Dakota.

Preferred Qualifications:

• Prior experience in case management.
• Background in acute care settings as a nurse or social worker.

Where You'll Work

CHI Mercy Health Valley City, part of CommonSpirit Health, has been a part of the Valley City community since 1928 when it was founded by the Sisters of Mercy. Their vision was to build healthier communities through a healing ministry. Over the years we’ve progressed to meet the needs of the community. We arealwayshere for you to keep your medical needs close to home and convenient. We arealwaysjust down the road and have offered services for decades.