RN Care Manager

Laredo Medical Center; Laredo (TX); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

FSA

EAP

401k match

Life Insurance

Disability

Vacation

Sick Leave

Holidays

Personal Day

Family Leave

Tuition Reimbursement

Loan Forgiveness

Promotion Opportunities

Job summary

Laredo Medical Center is seeking an RN Care Manager to coordinate discharge planning, transitions of care, and case management to ensure optimal patient outcomes.

This role requires collaborating with interdisciplinary teams, reviewing medical records for appropriateness, and maintaining compliance with federal, state, and accreditation standards. RN licensure is required; ACM/ CCM credentials are preferred.

Qualifications

• Associate Degree in Nursing is required.
• Bachelor's Degree in Nursing is preferred.
• 2-4 years of clinical nursing experience in hospital/home health/nursing home is required.
• 2-4 years of care management experience preferred.

Responsibilities

• Coordinates discharge planning and transitions of care.
• Reviews medical records for appropriateness and medical necessity.
• Collaborates with interdisciplinary teams to ensure effective communication.
• Maintains timely documentation of case management activities.
• Provides discharge planning and post-hospital care options information.

Skills

Discharge planning

Care management

Communication skills

EMR proficiency

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Tools

EMR software

Job description

Laredo Medical Center is currently hiring RN Care Manager. Are you looking to join a hospital that delivers world-class patient care? Do you enjoy working with people who truly believe in community? If so, you just came across the perfect place!

What We Offer

• Medical, Dental & Vision Coverage
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• Competitive Pay
• 401(k) with Employer Match
• Life Insurance & Disability Coverage
• Vacation
• Sick Leave
• Holidays
• Personal Day
• Family Medical Leave
• Tuition Reimbursement
• Loan Forgiveness
• Internal Promotion Opportunities

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

• Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
• Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
• Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• Associate Degree in Nursing required
• Bachelor's Degree in Nursing preferred
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
• 2-4 years of care management experience preferred

Knowledge, Skills and Abilities

• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required
• Accredited Case Manager (ACM) preferred
• CCM - Certified Case Manager preferred
• BLS - Basic Life Support preferred

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.