Registered Nurse Case Management Services

Ascension Health; Mequon (WI); On-site; USD 84,000 - 119,000; Full time

Benefits offered by this job

Health coverage

403(b) retirement plan

PTO and holidays

Tuition reimbursement and professional

Employee Assistance Program (EAP)

Parental leave and family benefits

Transportation savings

Job summary

Ascension Health is seeking a Registered Nurse Case Manager to coordinate the interdisciplinary plan of care from admission to discharge within the Case Management department.

You will assess medical necessity, advocate for patient resources, document care plans, liaise with post-acute services, and collaborate with payers to optimize benefits while promoting efficient resource use.

Qualifications

• Registered Nurse license from the Wisconsin Board of Nursing.
• Diploma in Nursing or equivalent licensure at time of hire.
• BLS Provider certification.
• CCMC Case Manager certification preferred.

Responsibilities

• Coordinate the care plan from admission to discharge.
• Assess medical necessity and level of care.
• Maintain ongoing dialogue with supervisor and care transition team.
• Liaise with post-acute services for documentation and options.
• Collaborate with payers to optimize benefits.
• Advocate for efficient utilization of clinical resources.

Skills

Care coordination

Clinical documentation

Advocacy

Interdisciplinary collaboration

Education

Diploma in Nursing

Tools

EHR systems

Job description

Your future role at a glance

Coordinates the overall interdisciplinary plan of care for patients from admission to discharge for the Case Management department.

How you’ll make an impact in this role

• Creates plan for care across the continuum. Integrates patient/family preferences and values. Advocates for resources and removal of barriers for the patient.
• Monitors patients' medical necessity and level of care through assessments, ongoing evaluations and/or patient records.
• Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of care plan.
• Serves as a resource for adequate medical record documentation, level of care recommendations, and services as they relate to diagnoses and treatment options for post-discharge care. Acts as a liaison between patient and post acute services.
• Collaborates with payers for benefit optimization.
• Advocates for effective and efficient utilization of clinical resources.

What minimum requirements you’ll need

Licensure / Certification / Registration

• Required Credential(s):
• Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.
• Preferred Credential(s):
• BLS Provider. American Heart Association or American Red Cross accepted.
• Case Manager credentialed from the Commission for Case Manager Certification (CCMC).

Education

• Diploma from an accredited school/college of nursing required. OR Required professional licensure at time of hire.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf) poster.

E-Verify statement

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Min Salary: 84060.91

Max Salary 118668.99