Complex Care Case Manager

MercyOne Medical Group; Mason City (IA); On-site; USD 90,000 - 110,000; Full time

Job summary

MercyOne Medical Group is seeking a Nurse Senior – Complex Care Specialist to coordinate care for acutely hospitalized patients with highly complex needs. The role sits within the Acute Care Management team and focuses on care coordination, discharge planning, and seamless transitions to outpatient resources.

The ideal candidate holds a BSN with 3+ years in complex inpatient populations; an Iowa RN license is required.

Qualifications

• Bachelor's degree in Nursing and 3 years of experience with complex, high-risk inpatient populations.
• Master's degree preferred.
• Current Iowa RN license; Illinois license if cross-state requirements exist and must be obtained within 12 months of hire.

Responsibilities

• Leads interdisciplinary complex care conferences aligning patients, families, and teams on goals and care plan.
• Documents and supports patient-defined goals and informed decision-making, including high-risk pathways.
• Drives clear next steps, responsibilities, and timelines for the safest discharge plan.
• Coordinates inpatient-to-outpatient transitions with timely connections and effective handoffs.
• Advances knowledge of workflows, payer requirements, and community resources to remove barriers.
• Maintains up-to-date knowledge of internal processes and regulatory expectations affecting complex care.

Skills

Nursing expertise

Care coordination

Interdisciplinary collaboration

Discharge planning

Patient advocacy

Education

BSN or higher

Master's degree preferred

Job description

Employment Type:Full timeShift:Day ShiftDescription:

The Nurse Senior – Complex Care Specialist role is responsible for focused ownership and coordination of acutely hospitalized patients with highly complex medical, psychosocial, behavioral, and system‑driven needs. Embedded within the Acute Care Management team, this role provides sustained attention, advanced care coordination, and accountability for complex inpatient populations, partnering closely with care teams and leadership to remove barriers to progression, support timely discharge planning, and improve patient outcomes. While the role does not assume ownership of outpatient settings or teams, it is accountable for ensuring intentional coordination, connection, and effective handoff to appropriate outpatient, post‑acute, and population‑based resources as part of transitions of care. Adheres to MercyOne’sperformance expectations and upholds the Mission, Vision, and Values of MercyOne.

Schedule

Monday - Friday

8 hour shifts

No Holidays

Qualifications:

• Must possess a comprehensive knowledge of nursing as normally obtained through a Bachelor’s degree in Nursing or a related field, and three (3) years of experience working with complex, high risk patient populations in an acute or inpatient setting.
• Masters Degree in related field preferred.
• Current Iowa RN license, (MercyOne Genesis - current Registered Nurse (RN) license in either Iowa or Illinois is required at the time of hire. A secondary RN license for the other state must be obtained within 12 months of the hire date.)
• Experience leading complex cases, care planning discussions, or interdisciplinary efforts without formal supervisory authority.
• Demonstrated success coordinating care for patients with significant medical, psychosocial, behavioral, and system complexity during hospitalization.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health and MercyOne.
  

What you'll do:

• Leads interdisciplinary complex care conferences to align patients, families, and care teams around shared understanding of goals, risks, barriers, and the inpatient care plan.
• Ensures patient‑centered care planning by identifying, documenting, and supporting patient‑defined goals, values, and informed decision‑making, including high‑risk or non‑traditional pathways.
• Drives accountability for clear next steps, assigned responsibilities, and realistic timelines, partnering with providers and leadership to develop the safest possible plan of care and discharge.
• Coordinates complex inpatient care through discharge by ensuring timely connection, clear communication, and effective handoff to outpatient, post‑acute, and population‑based resources, promoting safe and seamless transitions across care settings.
• Applies advanced knowledge of workflows, payer and regulatory requirements, and community resources to identify system‑level barriers, partnering with leadership and external stakeholders to resolve delays and support efficient progression of care.
• Maintains advanced knowledge of internal workflows, payer requirements, regulatory expectations, and community resources impacting complex acute care patients.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person‑centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.