Registerd Nurse (RN) Care Manager WP

Aurora Health Care; Milwaukee (WI); On-site; USD 80,000 - 110,000; Full time

Job summary

Aurora St. Luke’s Medical Center in Milwaukee, WI is seeking an experienced RN Case Manager for inpatient care. You will partner with patients, families and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

Requirements include a Registered Nurse license in Wisconsin, a Bachelor’s Degree in Nursing, and 2 years of clinical nursing experience. The role emphasizes discharge planning, care coordination and CMS compliance.

Qualifications

• Registered Nurse License issued by the state in which the Team Member practices.
• Bachelor’s Degree in Nursing.
• 2 years of clinical nursing experience.

Responsibilities

• Conduct comprehensive assessments and create timely care plans & interventions
• Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
• Provide continuity of care and discharge planning aligned with regulatory standards
• Coordinate smooth transfers and handoffs across units and settings
• Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
• Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
• Perform concurrent/retrospective reviews using approved criteria
• Partner closely with Social Work and support staff to implement safe, effective plans of care
• Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
• Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
• Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes
• Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
• Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
• Provide age-appropriate care per departmental standards

Skills

Care coordination

Interdisciplinary collaboration

Discharge planning

Education

Bachelor’s Degree in Nursing

Job description

Registered Nurse (RN) – RN Case Manager inpatient St Lukes

Where You Will Work:

Milwaukee, WI, United States Centrally located in the south side of Milwaukee
Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

We’re Looking For:

License/Registration/Certification: Registered Nurse License issued by the state in which the Team Member practices.
Level of Education: Bachelor’s Degree in Nursing
Years of Experience: 2 years of clinical nursing experience

What You’ll Do:

• Conduct comprehensive assessments and create timely care plans & interventions
• Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
• Provide continuity of care and discharge planning aligned with regulatory standards
• Coordinate smooth transfers and handoffs across units and settings
• Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
• Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
• Perform concurrent/retrospective reviews using approved criteria
• Partner closely with Social Work and support staff to implement safe, effective plans of care
• Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
• Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
• Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes
• Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
• Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
• Provide age-appropriate care per departmental standards

Available schedules

WP ED RN CM coverage - leader is open to 36 hour (FRI/SAT/SUN 07-1900

or (2) 12H shifts (Sat, Sun) from 07:00-19:00 + 2 additional 8H shifts during the week = 40 hours a week

one weekend off a quarter and one holiday a year

About This Location:

Aurora St. Luke’s Medical Center is a 938-bed, quaternary acute care
community hospital that provides advanced health care expertise.
The organization offers leading edge oncology, cardiovascular and
neurology therapies for primarily adult patients. Nursing professional
governance is a particular organizational strength, with over 40 years
of experience in clinical nurse shared decision making. Aurora St.
Luke’s has been recognized for Nursing Excellence by the American
Nurses Credentialing Center Magnet Recognition Program® since
2001, most recently celebrating our 6th consecutive designation in
February 2024.

Ready to Take the Next Step: