Complex Care Case Manager

Trinity Health; Mason City (IA); Vor Ort; USD 85.000 - 110.000; Vollzeit

Zusammenfassung

Nurse Senior – Complex Care Specialist at Trinity Health in Mason City, IA leads and coordinates the care of acutely hospitalized patients with highly complex medical, psychosocial, and system-driven needs. You’ll partner with care teams to remove barriers to progression, support timely discharge planning, and improve patient outcomes across inpatient settings.

Embedded in Acute Care Management, this role requires advanced care coordination and accountability for transitions to outpatient and

Qualifikationen

• Nursing degree with 3 years of experience in complex, high-risk inpatient populations.
• Master's degree preferred.
• Current Iowa RN license; multi-state licensure may be required within 12 months.
• Experience leading complex cases and care planning discussions.

Aufgaben

• Leads interdisciplinary complex care conferences to align patients, families, and care teams around goals, risks, barriers, and inpatient care plan.
• Ensures patient-centered care planning by documenting patient-defined goals, values, and informed decisions.
• Drives accountability for next steps, responsibilities, and timelines with providers and leadership.
• Coordinates complex inpatient care through discharge with timely connections and effective handoffs to outpatient/post-acute resources.
• Identifies system-level barriers and collaborates to resolve delays and support progression of care.
• Maintains knowledge of workflows, payer requirements, regulatory expectations, and community resources.

Kenntnisse

Care coordination

Interdisciplinary collaboration

Healthcare leadership

Patient-centered care

Ausbildung

Bachelor's degree in Nursing or related field

Master's degree preferred

Jobbeschreibung

Employment Type: Full time Shift: Day Shift Description: 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 toMercyOne’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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation.

Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states.

Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well‑being services.

Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org.

You can also follow Trinity Health on LinkedIn.