Case Mgr/RN (5771)

Regional One Health; Memphis (TN); On-site; USD 70,000 - 100,000; Part time

Job summary

Regional One Health is seeking a Case Manager/Clinical Leader to assess and address the physical and psychosocial needs of patients and families, coordinating with clinical and social services across hospitals, homes, and community settings.

The role emphasizes developing community-based care plans, managing a complex caseload, and driving improvements in outcomes while collaborating with a multidisciplinary team to remove barriers to access and ensure continuity of care.

Qualifications

• Bachelor’s Degree in Nursing is required.
• Master’s Degree in Nursing or Public Health is preferred.
• Education, training, or experience to work with the patient population is required.

Responsibilities

• Designer/coordinator/integrator/evaluator of care for individuals, families, groups, communities, and vulnerable populations.
• Demonstrates ability to understand rationale for care and deliver interventions in diverse environments.
• Oversees holistic assessment and develops a community-based plan of care.
• Carries a caseload of complex patients.
• Synthesizes data to evaluate health outcomes and reports on interventions.
• Advocates for patients and collaborates with professional teams.
• Educates clients, families and staff using current information and teaching strategies.
• Maintains individualized care plans addressing medical and social barriers to accessing care.
• Coordinates and integrates activities within complex care and departments to maximize department effectiveness.

Skills

Interdisciplinary collaboration

Project management

Quality improvement

Staff education

Education

Bachelor's Degree in Nursing

Master’s Degree in Nursing or Public Health

Education/training to work with patient population

Job description

Job Details

Job Location: Case Management - Memphis, NH 38103
Position Type: PRN
Travel Percentage: None
Job Shift: Any
Job Category: Psychological and Social Services

Job Summary

Responsible for assessing the physical and psychosocial needs of patients and families and providing intervention to meet those needs utilizing personal, family, and community resources. Coordinates with clinical and social service providers across traditional and nontraditional settings including, but not limited to hospitals, primary care offices, homes, social service agencies. Coordinates with health system case managers and leads across boundaries.

Key Job Responsibilities

Clinician

• Designer/coordinator/integrator/evaluator of care to individuals, families, groups, communities, and identified populations of vulnerable populations.
• Demonstrates ability to understand rationale for care and competently deliver interventions to an increasingly complex and diverse population in multiple environments and settings.
• Performs and/or oversees the holistic assessment and develops a community based plan of care.
• Carries a caseload of complex patients.

Outcomes Manager

• Synthesizes data and translates into information and knowledge to evaluate and achieve optimal health outcomes.
• Collects data on interventions and outcomes.

Advocacy

• Adept at ensuring that patients, families, and communities are well‑informed and included in planning care and is an informed leader for improving care.
• Serves as an advocate for the patient and the professional and interdisciplinary team.

Educator

• Utilizes appropriate teaching principles and strategies as well as current information, materials, and technologies to teach clients, groups, and other healthcare professionals.
• Creates, maintains, and adjusts individualized care plans for patients that address both medical and social barriers to accessing care.
• Works in conjunction with outreach team on intake assessments/care plan including medical needs/barrier identification of patients enrolled in the program; determines plan for care management.
• Promotes activities related to the delivery of clinical services, including, but not limited to utilization review, quality assurance, and clinical protocol development.

Other Responsibilities

• Plan and execute interdisciplinary case conferences/team meetings and clinical rounds.
• Forge and nurture partnerships with hospitals, medical offices, and local service organizations to broaden support services for patients.
• Implements policies and procedures to ensure that patients are discharged from the hospital with appropriate support systems to prevent re‑admission.
• Demonstrates knowledge and skills necessary to provide care appropriate to the patient population and within clinical competency.
• Works collaboratively with hospital staff and other community/human services agencies to coordinate intervention activities; ensures that patients receive efficient services for problem resolution.
• Utilizes computer and information systems to enter, format data, and generate statistics, computations, tables, charts, and graphs.
• Maintains confidentiality of information in accordance with HIPAA/compliance policies and procedures.
• Completes required continuous training and education, including department specific requirements to maintain knowledge of case management and utilization review practices.
• Responds to problems/opportunities to improve work environment and participates in unit‑based performance improvement activities.
• Attends in‑services, educational programs, conferences, and other meetings as required.
• Supports and is involved in the organization’s performance improvement initiatives.
• Coordinates and integrates activities within complex care and other departments to maximize overall effectiveness of the department.

Physical Demands

Physical demand: N/A; Rarely; Occasionally; Frequently; Constantly (none specified). Standing, walking, sitting, lifting, carrying, pushing, and pulling: frequencies vary as indicated.

Qualifications

Education

• Bachelor’s Degree in Nursing – required.
• Master’s Degree in Nursing or Public Health – preferred.
• Education, training, or experience to work with the patient population as assignment dictates – required.

Work Experience

• Minimum 3 years of experience in acute care nursing – required.
• Progressive experience in health care including direct patient care, educating staff and patients, problem solving at unit and organizational level; project management experience or evidence of skills and abilities which demonstrate project management skills – required.
• Significant experience in continuous quality improvement and project management of an interdisciplinary team – required.
• Experience in designing an approach, determining resources needed to complete the project, selection of methodology, process evaluation, and completion of work – required.