Registered Nurse (RN) Inpatient Case Manager

Advocatehealth; Milwaukee (WI); On-site; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare provider is seeking a Registered Nurse (RN) Inpatient Case Manager to join their team in Milwaukee. This role involves conducting assessments, developing care plans, and collaborating with healthcare teams to ensure optimal patient care and discharge planning. Candidates must have a valid nursing license and a Bachelor's degree in Nursing, along with at least two years of clinical experience. Strong communication, critical thinking, and organizational skills are essential for success in this position.

Qualifications

• Registered Nurse License issued by the practicing state.
• Minimum 2 years of clinical nursing experience.

Responsibilities

• Conduct comprehensive assessments and develop care plans.
• Collaborate with patients and healthcare teams for care goals.
• Coordinate discharge planning and manage case services.

Skills

Prioritization

Organizational skills

Effective communication

Critical thinking

Proficiency in Electronic Health Records

Proficiency in MS Office

Knowledge of Medicare guidelines

Knowledge of Managed Care

Knowledge of Utilization Management programs

Education

Bachelor’s Degree in Nursing

Job description

Registered Nurse (RN) Inpatient Case Manager

Join us as a Registered Nurse (RN) Inpatient Case Manager at Advocate Health.

Responsibilities

1. Conduct comprehensive assessments, develop care plans, and initiate interventions promptly.
2. Collaborate effectively with patients, families, and healthcare teams to meet patient care goals and facilitate discharge planning.
3. Utilize patient and family strengths in problem-solving, involving them in decision-making throughout hospitalization.
4. Coordinate discharge planning and services, ensuring compliance with regulatory standards and timely communication.
5. Manage case services related to healthcare, finances, housing, and illness adjustment, including crisis management and community resource utilization.
6. Initiate and document referrals, reviews, and communication with healthcare team and external agencies.
7. Participate in multidisciplinary teams to resolve barriers to discharge and expedite care delivery.
8. Maintain knowledge of healthcare regulations, reimbursement, and community resources.
9. Complete utilization management activities, including clinical updates, data collection, and denial management.
10. Represent Advocate Aurora Health Care positively in community collaborations.
11. Serve as an educator and resource regarding admission status, regulatory requirements, and care coordination.

Qualifications

• Registered Nurse License issued by the practicing state.
• Bachelor’s Degree in Nursing.
• Minimum 2 years of clinical nursing experience.

Skills and Abilities

• Prioritization and organizational skills.
• Effective communication and critical thinking.
• Proficiency in Electronic Health Records and MS Office.
• Knowledge of Medicare guidelines, Managed Care, and Utilization Management programs.

Physical Requirements

• Ability to sit, stand, walk, lift weights, and communicate effectively.

This description provides an overview of the role's expectations and requirements. Additional duties may be assigned as necessary.