Role Overview
The RN Hospital Care Manager I provides comprehensive care management for designated patients, utilizing clinical expertise to conduct screenings, assessments, and evaluations. They develop and implement patient-centered care plans, collaborating with patients, families, healthcare providers, payers, and community resources to ensure efficient, high-quality care across inpatient and outpatient settings.
Key Responsibilities
- Assess patients through screenings and evaluations.
- Develop, adjust, and coordinate individualized care plans addressing medical and social needs.
- Support patient self-management via motivational interviewing and coaching.
- Educate and advocate for patients and healthcare teams to promote self‑care and rights.
- Collaborate with multidisciplinary teams to ensure timely, effective care.
- Lead process improvement initiatives, enhance care transitions, and ensure policy adherence.
- Provide education on goals of care for informed decision-making.
- Track key metrics, analyze trends, and ensure compliance with regulations.
Qualifications & Skills
- Current RN license in the practice state.
- Bachelor of Science in Nursing (BSN); must obtain BSN within four years if hired without one.
- Clinical nursing experience in inpatient hospital settings, with knowledge of hospital processes.
- Understanding of disease management, treatment, barriers to care, and length of stay.
- Skills in assessment, care planning, motivational interviewing, critical thinking, communication, time management, and patient education.
- Preferred: Case management certification, experience in discharge planning, utilization review, or value-based care; basic computer proficiency.
Physical & Other Requirements
- Ability to see, read, communicate effectively, and manipulate equipment accurately.
- Handle high-stress situations, make quick decisions, and manage multiple tasks.
- For roles involving driving, ability to operate a vehicle safely.