Nurse Case Manager: Care Coordination & Discharge

Waterbury Hospital; Waterbury (CT); On-site; USD 85,000 - 105,000; Full time

Job summary

Waterbury Hospital is seeking an experienced Registered Nurse to serve as Case Manager, overseeing utilization and transition management for assigned patients. You will work with social workers and the care team to ensure appropriate resource use and reimbursement.

Responsibilities include determining medical necessity, collaborating with payers, and coordinating discharge planning to support safe, efficient patient care across settings.

Qualifications

• Active Connecticut RN license.
• Clinical nursing experience with emphasis on medical/surgical fields.
• Experience in discharge planning and utilization review is preferred.
• Strong communication and collaboration with patients, families and hospital staff.

Responsibilities

• Determine medical necessity and level of care using clinical information and criteria.
• Collaborate with third party payers and physicians on admission decisions.
• Develop and implement discharge plans with the care team.
• Identify high-risk patients and coordinate transitions to home or skilled care.
• Participate in care coordination rounds and ensure timely patient throughput.

Skills

Interpersonal skills

Communication skills

Negotiation

Analytical abilities

Problem solving

Independent work

Prioritization

Multi-tasking

Computer literacy

Education

Registered Nurse license (CT)

BSN preferred

Diploma/Associates in nursing

Case Management certification preferred

Tools

EMR systems

Job description

Waterbury Hospital is seeking an experienced Registered Nurse to serve as Case Manager, overseeing utilization and transition management for assigned patients. You will work with social workers and the care team to ensure appropriate resource use and reimbursement.

Responsibilities include determining medical necessity, collaborating with payers, and coordinating discharge planning to support safe, efficient patient care across settings.