RN Care Manager: Patient Transitions & Outcomes

Socket.dev; Hillsdale (TN); On-site; USD 75,000 - 105,000; Full time

Job summary

Prisma Health is seeking a dedicated nurse caregiver and case manager to coordinate care across acute and post-acute settings. You will work with physicians and a multidisciplinary team to maximize patient autonomy, proactively address barriers, and ensure efficient, compliant care management.

The role emphasizes social determinants of health, documentation accuracy, and navigation of value-based care to align with patient goals and caregiver involvement.

Qualifications

• Knowledge of Medical Necessity Criteria is preferred.
• Bachelor's degree in Nursing is required.
• ACM or CCM certification is preferred.

Responsibilities

• Collaborate with physicians and multidisciplinary team to coordinate care.
• Identify social determinants of health affecting outcomes.
• Ensure timely care transitions from acute to ambulatory settings.
• Address barriers to care and documentation for the care team.
• Advocate for patient independence and access to services within the health system.
• Maintain knowledge of regulatory requirements related to care management.

Skills

Medical Necessity Criteria

Education

Bachelor's degree in Nursing

Job description

Prisma Health is seeking a dedicated nurse caregiver and case manager to coordinate care across acute and post-acute settings. You will work with physicians and a multidisciplinary team to maximize patient autonomy, proactively address barriers, and ensure efficient, compliant care management.

The role emphasizes social determinants of health, documentation accuracy, and navigation of value-based care to align with patient goals and caregiver involvement.