Registered Nurse Case Manager

Preferred Home Health Care & Nursing Services; Wilmington (DE); On-site; USD 70,000 - 100,000; Full time

Job summary

Preferred Home Health Care & Nursing Services is seeking a Case Manager Registered Nurse to coordinate patient care across diverse settings. The role focuses on safe transitions and optimal outcomes through comprehensive assessment and collaborative planning.

The ideal candidate will possess RN licensure and strong skills in clinical assessment, care planning, and communication to support high-quality, compliant care for diverse patient populations.

Qualifications

• Strong clinical assessment and care planning skills.
• Excellent communication and collaboration abilities.
• Knowledge of healthcare regulations and payer policies.
• Commitment to quality improvement and patient-centered care.

Responsibilities

• Assess patients' clinical and psychosocial needs.
• Develop individualized care plans.
• Collaborate with physicians, hospitals, schools, and community providers.
• Advocate for patients and their families.
• Conduct utilization reviews and ensure documentation accuracy.
• Provide education on care options.
• Ensure compliance with regulatory and payer requirements.

Skills

Clinical assessment

Care planning

Communication

Collaboration

Regulatory knowledge

Payer policies

Quality improvement

Patient-centered care

Education

Registered Nurse licensure

Job description

We are looking for a Case Manager Registered Nurse to coordinate patient care across various settings, ensuring safe and effective transitions for optimal outcomes.

Key Responsibilities Include

• Assessing patients' clinical and psychosocial needs
• Developing individualized care plans
• Collaborating with physicians, hospitals, schools, and community providers
• Advocating for patients and their families
• Conducting utilization reviews and ensuring documentation accuracy
• Providing education on care options
• Ensuring compliance with regulatory and payer requirements

Qualifications And Skills

• Registered Nurse licensure
• Strong clinical assessment and care planning skills
• Excellent communication and collaboration abilities
• Knowledge of healthcare regulations and payer policies
• Commitment to quality improvement and patient-centered care

This role supports diverse populations, promotes high-quality care, and contributes to a mission-driven healthcare environment.