Registered Nurse Case Manager

Fairview Hospital / Cleveland Clinic; Washington (District of Columbia); On-site; USD 90,000 - 110,000; Full time

Job summary

Fairview Hospital / Cleveland Clinic seeks a Field RN Case Manager to coordinate care for medically complex patients across community settings. The role involves in-home and field visits, developing individualized care plans, and facilitating smooth transitions between hospital, home, and outpatient care.

Applicants should have clinical nursing experience focused on care coordination, strong communication skills, and the ability to assess patient needs and connect them with community resources.

Qualifications

• Clinical nursing experience with a focus on patient care coordination.
• Strong communication and collaboration skills.
• Ability to assess patient needs and develop tailored care plans.
• Knowledge of community health resources and outpatient services.
• Commitment to community-based care and patient advocacy.

Responsibilities

• Coordinate care for medically complex patients across community settings.
• Conduct in-home and field visits to assess health needs.
• Develop individualized care plans to support patient health and recovery.
• Facilitate smooth transitions between hospital, home, and outpatient care.
• Collaborate with physicians, social workers, and community partners to improve patient outcomes.
• Work to reduce readmissions and promote preventive care.
• Connect patients with necessary resources and support services.

Skills

Clinical nursing experience

Patient care coordination

Strong communication

Collaborative teamwork

Assessing patient needs

Job description

• Coordinate care for medically complex patients across community settings.
• Conduct in-home and field visits to assess health needs.
• Develop individualized care plans to support patient health and recovery.
• Facilitate smooth transitions between hospital, home, and outpatient care.
• Collaborate with physicians, social workers, and community partners to improve patient outcomes.
• Work to reduce readmissions and promote preventive care.
• Connect patients with necessary resources and support services.

Field RN Case Manager

Responsibilities

• Coordinate care for medically complex patients across community settings.
• Conduct in-home and field visits to assess health needs.
• Develop individualized care plans to support patient health and recovery.
• Facilitate smooth transitions between hospital, home, and outpatient care.
• Collaborate with physicians, social workers, and community partners to improve patient outcomes.
• Work to reduce readmissions and promote preventive care.
• Connect patients with necessary resources and support services.

Qualifications & Skills

• Clinical nursing experience with a focus on patient care coordination.
• Strong communication and collaboration skills.
• Ability to assess patient needs and develop tailored care plans.
• Knowledge of community health resources and outpatient services.
• Commitment to community-based care and patient advocacy.

This role offers training, career growth opportunities, and a chance to make a meaningful impact on diverse patient populations.