RN Care Coordination Specialist

Mercy Health Corporation; Janesville (WI); On-site; USD 64,000 - 97,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

Tuition and certification reimburse

Paid time off

Parental and caregiver leave

Job summary

Mercyhealth is seeking a registered nurse with case management responsibilities in Wisconsin to support the health plan care coordination program. You will conduct assessments, develop individual care plans, and monitor outcomes, ensuring alignment with NCQA/HEDIS standards and quality initiatives.

The role emphasizes direct case management, collaboration with hospital staff, and ongoing data analysis to optimize patient care and program cost effectiveness across Mercyhealth's network.

Qualifications

• Graduate of an accredited nursing program.
• RN licensed in state of practice.
• CCM certification or in process of obtaining CCM designation.

Responsibilities

• Provide direct case management activities (minimum 60%).
• Collect information and develop comprehensive case management plans.
• Determine objectives and actions to meet client needs through assessments.
• Implement interventions to achieve case management goals.
• Organize resources to accomplish plan objectives.
• Monitor progress and evaluate effectiveness.
• Educate provider offices and hospital staff on case management policies.
• Support quality improvement and accreditation initiatives.

Skills

Nursing

Case management

RN credential

Education

BSN preferred

ADN or RN Diploma preferred

Job description

Mercyhealth is seeking a registered nurse with case management responsibilities in Wisconsin to support the health plan care coordination program. You will conduct assessments, develop individual care plans, and monitor outcomes, ensuring alignment with NCQA/HEDIS standards and quality initiatives.

The role emphasizes direct case management, collaboration with hospital staff, and ongoing data analysis to optimize patient care and program cost effectiveness across Mercyhealth's network.