Registered Nurse Case Manager-Per Diem

Care New England; Providence (RI); On-site; USD 70,000 - 95,000; Full time

Job summary

Care New England is seeking an RN Case Manager (RN CM) in Rhode Island to coordinate clinical care across the continuum, emphasizing quality outcomes and cost-effective care. The role requires RI RN licensure with 3–5 years of related case management experience and CCM/ACM certification within 24 months of hire.

Strong communication with physicians and interdisciplinary teams is essential. The RN CM will perform transition of care planning, utilization review, and resource allocation while

Qualifications

• Must be licensed as a Registered Nurse in Rhode Island.
• Minimum of 3–5 years related clinical and/or Case Management experience.
• Certification in Case Management (CCM or ACM) earned within 24 months of employment (part-time prorated).
• Ability to effectively communicate with physicians and interdisciplinary care team to achieve resolutions.
• Knowledge of level of care management, quality management, discharge planning.
• Proficiency with multiple computer systems (EMR, Microsoft Office).

Responsibilities

• Coordinate clinical care for a designated patient population across the continuum of care.
• Engage in transition of care planning and discharge planning.
• Perform utilization review for POE/ED RN Case Manager responsibilities.
• Allocate resources for POE/ED RN Case Manager assignments.
• Ensure quality, compliant care and documentation across departments.
• Participate in weekend and holiday coverage rotation.

Skills

Communication

Interdisciplinary collaboration

Discharge planning

Medical data interpretation

EMR proficiency

Microsoft Office

Education

Rhode Island RN license

Tools

EMR

Microsoft Office

Job description

Job Summary

The The RN Case Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management. The RN CM interacts with Medical, Nursing, and Ancillary department staff to facilitate
quality-based, cost-effective patient outcomes and ensure care is provided in the most appropriate setting.

Duties & Responsibilities

1. Transition of Care Planning
2. Utilization Review
3. Point of Entry and Emergency Department Duties, when applicable per assignment
4. Utilization Review for POE/ED RN Case Manager
5. Resource Allocation for POE/ED RN Case Manager
6. Quality and Compliance
7. Performs other duties as required

Requirements

Must have and maintain license as Registered Nurse in Rhode Island. Minimum of 3 to5 years related clinical and/or Case Management experience required. As of 1/1/16, Certification in Case Management (CCM or ACM) earned within 24 months of employment, prorated for part-time staff. Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions. Must have effective written communication. The ability to interpret medical data as documented. Utilization of level of care management, quality management, discharge planning, basic knowledgeof third party payer or case management knowledge preferred. Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.) Participation in weekend and holiday coverage rotation. Flexibility to cover as needed.

WIH Internal Posting Period: 8/26/26-9/4/26

About Us

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation's top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.

EEO Statements

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.