Registered HIV Nurse Case Manager

The Medical College of Wisconsin, Inc.; United States; On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Flexible Spending options

403B Retirement Package

Paid holidays

Tuition Reimbursement

Parental Leave

Employee & Family Assistance Program

Job summary

The Medical College of Wisconsin, Inc. is seeking an RN Case Manager to coordinate comprehensive, patient-centered care. You will assess, plan, implement, and evaluate individualized care with interdisciplinary teams, ensuring continuity and efficient resource use.

Responsibilities include telephone triage, care coordination across settings, direct patient care activities, and discharge planning, with emphasis on advocacy and high-quality outcomes.

Qualifications

• Bachelor’s degree required with active Wisconsin RN license.
• Minimum 3 years RN experience in care coordination or case management.
• Master’s degree preferred but not required.

Responsibilities

• Triage patient concerns by phone and provide nursing advice.
• Coordinate outpatient, inpatient, and home health care needs.
• Direct patient care activities including assessment and treatment.
• Assist with authorization and insurance forms; manage records.
• Collaborate with physicians and staff to optimize care quality.

Skills

Leadership

Communication

Telephone triage

EMR proficiency

Interdisciplinary collaboration

Education

Bachelor’s Degree

RN Licensure – Wisconsin

Master’s Degree preferred

Tools

EMR systems

Medical forms handling

Job description

Summary

The Registered Nurse (RN) Case Manager is responsible for coordinating and managing the delivery of comprehensive, patient-centered care. This role ensures optimal patient outcomes by assessing, planning, implementing, and evaluating individualized care plans in collaboration with interdisciplinary teams, patients, and their families. The RN Case Manager serves as a liaison between healthcare providers, community resources, and patients, focusing on effective resource utilization, continuity of care, and patient advocacy.

Primary Responsibilities

• Using the nursing process, triage patient concerns via telephone and provide nursing advice.
• Receive phone calls relating to appointments, urgent care, inpatient admissions, prescription refills and test results in accordance with clinic protocols and coordinate proper disposition of each.
• Performs direct patient care activities, including assessment, evaluation, and treatment.
• Obtain, review, verify and/or complete health care forms related to home health care, referrals, medical equipment and other patient/physician needs as appropriate.
• Assist with managed care authorization and complete insurance and medical forms for patients or assist patients in completing the forms.
• Maintains detailed, confidential medical records in accordance with established protocols.
• Maintain tracking dashboard for high-risk patients, identifying critical follow-up visits.
• Demonstrates proficiency in the use of the electronic medical record (EMR).
• Collaborate daily with physicians and clinical staff to maximize quality care.
• Communicate plan of care to patients including responding to telephone messages and facilitating medication refills under the physician's direction.
• Monitor patient care to ensure patients progress towards desired outcomes.
• Coordinate patient follow-up and ongoing clinical management.
• Coordinates patient discharge plan, follow-up, and ongoing clinical management post discharge.
• Facilitates patient discharges from the clinic including completion of discharge summaries.
• Participates in staff and team meetings.
• Assist with the fiscal management of annual budgets.
• Participates in quality improvement efforts for continued high quality care.

Knowledge – Skills – Abilities

• Strong leadership, team-building and decision-making capabilities are essential, as well as the ability to set priorities, identify and resolve problems, and delegate effectively and efficiently.
• Excellent communication, computer, and organizational skills needed to manage workflow, patients, patient families, physicians, and others under stressful conditions.
• The ability to assess and triage patients and to communicate clearly and logically both orally and in writing needed.
• Must demonstrate reliability and maintain confidentiality.

Qualifications

Appropriate experience may be substituted for education on an equivalent basis.

• Minimum Required Education: Bachelor’s Degree
• Minimum Required Experience: 3 year’s
• Preferred Education: Master’s Degree
• Required Certification/Licensure(s): Current Wisconsin RN License

Physical Requirements

Work requires occasionally lifting moderate weight materials, standing, or walking continuously.

Work Environment

Little or no exposure to hazards such as dust, fumes, or extreme temperatures, airborne or blood borne pathogens, extreme temperatures, or allergens.

Sensory Acuity Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

Why MCW?

Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental.

• Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Employee & Family Assistance Program (EFAP)
• Pet Insurance
• On campus Fitness Facility, offering onsite classes
• Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview For a full list of positions see: MCW Careers

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer.

We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status.

Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

About Us

Together, we can build a healthier world. A student, an educator, a scientist and a community leader — alone, they can do many things. Together, the question isn’t what they can do, but what can’t they.

The Medical College of Wisconsin (MCW) brings together the most inquisitive, passionate minds in science, medicine, education and community engagement to tackle today’s toughest challenges in health and society. Academic medicine is at the center of where scientists, physicians and students work hand-in-hand with the community to ask the most important questions and fuel the cycle of innovation that shapes the future of medicine.

Medical College of Wisconsin The tireless pursuit of knowledge and the power of academic medicine is at the core of everything we do at MCW. Bringing together the world’s top scientists and clinicians, inspired students and invested communities, we are driven to solve the most complex challenges in health and society.

With around 1,600 full-time and part-time faculty and approximately 3,500 full-time employees, MCW is home to a diverse group of thought leaders working in collaboration to pioneer pathways to a healthier world and drive a continuous cycle of life-changing discovery.