RN Case Management Manager | Lead Patient Care & Care Transitions

The Staff Pad; Kentucky; Vor Ort; USD 90.000 - 140.000; Vollzeit

Benefits dieser Stelle

Paid Time Off

Health & Supplemental Insurance

Direct Deposit

Fitness Center Membership

Education Reimbursement

Retirement Plan

Zusammenfassung

The Staff Pad is partnering with a respected healthcare organization in Hamilton, TX to recruit an experienced Case Management Manager who leads a high-performing team to optimize patient outcomes and safe transitions of care.

This RN-led role focuses on discharge planning, utilization management, regulatory compliance, and coordinating post-hospital care while supporting patients and families through the care continuum.

Qualifikationen

• Graduate of an accredited School of Nursing.
• RN license in Texas; CPR, BLS required; ACLS preferred.
• 5+ years RN experience; Case Management leadership experience preferred.
• Knowledge of utilization management, discharge planning, and regulatory requirements.

Aufgaben

• Conduct discharge assessments on admission and develop timely discharge plans.
• Perform daily patient assessments, monitor progress, and document changes.
• Coordinate post-hospital care and discharge to home or other settings.
• Educate patients and families; liaise among patients, families, physicians and care team.
• Document discharge services accurately per hospital policy.
• Maintain individualized care plans and update with status changes.
• Review denials and ensure appropriate appeal completion.
• Support access to financial assistance and community resources.
• Coordinate care and rehabilitation using social work expertise.
• Partner with Quality Improvement to enhance patient safety and monthly reporting.

Kenntnisse

RN

Discharge planning

Case management leadership

Utilization management

Communication

Problem solving

Ausbildung

Graduate of an accredited School of Nursing

Jobbeschreibung

RN Case Management Manager | Lead Patient Care & Care Transitions

Hamilton, United States | Posted on 07/09/2026

The Staff Pad is proud to partner with a respectedhealthcare organization in Hamilton, TX to recruit an experienced CaseManagement Manager who is passionate about improving patient outcomes, leadinghigh-performing teams, and ensuring safe, efficient transitions of care.

The Case Management Manager leads and supports theCase Management team in coordinating patient care from admission throughdischarge. This role collaborates closely with physicians, nursing staff, and interdisciplinaryteams to remove barriers to timely discharge, improve patient outcomes, ensureregulatory compliance, and promote cost-effective care while maintaining thehighest standards of patient advocacy

What You’ll Do

Key Responsibilities

• Conductdischarge assessments on admission & develop timely, appropriatedischarge plans
  
• Performdaily patient assessments, monitor, evaluate & document patientprogress
  
• Coordinatepost-hospital care & coordinate discharge to home and other caresettings
  
• Provide,document, and coordinate patient and family education; serve as liaisonamong patients, families, physicians, and the care team
  
• Documentdischarge services accurately and timely in accordance with hospitalpolicy
  
• Maintainindividualized patient care plans and update them based on changes inpatient status
  
• Reviewdenials, identify appeal needs, and ensure appropriate appeal completion
  
• Reviewcontinued stay, medical necessity, medical reports and treatment plans
  
• Facilitateaccess to financial assistance, advance directives, legal aid, educationand medication assistance programs
  
• Coordinatepatient care and rehabilitation using consultation findings and socialwork expertise
  
• Partnerwith Quality Improvement to enhance patient safety, establish goals, andsubmit monthly quality reports
  
• Reviewpayer-requested charts and communicate clinical information to payers
  
• Maintainreferral source database & refer patients, families to communityresources
  
• Identifybarriers to patient progress & perform social work duties as needed
  
• Documentongoing physiological, psychosocial assessments, patient and familyeducation and responses & interdisciplinary care plan recommendations
  
• Validate,transcribe, and co-sign physician orders; report patient progress, andadvise physicians and departments on utilization management regulations
  
• Performutilization reviews in compliance with state regulations and evolvingutilization management regulations
  
• Monitordaily case management needs & maintain collaborative staffrelationships
  
• Communicatedischarge plans with physicians and complete follow-up calls within threedays of discharge
  

Additional Responsibilities

• Assistwith coordinating quarterly utilization review committee activities andupdating policies and procedures
  
• Performregistered nurse duties in accordance with the RN job description
  
• Maintainconfidentiality and HIPAA compliance when handling sensitive information
  
• Adhereto organizational behavioral standards personnel policies and customerservice expectations
  
• Performother duties as assigned
  

What We Are Looking For

Qualifications

• Graduateof an accredited School of Nursing
  
• RNlicense in the State of Texas, Current CPR, BLS certification; ACLSpreferred
  
• 5+years of Registered Nurse experience; Case Management leadershipexperience preferred
  
• Knowledgeof utilization management, discharge planning, and regulatory requirements
  

Additional Requirements

• Compassionateand patient-focused leadership
  
• Excellentcommunication, relationship-building, clinical judgement andproblem-solving skills
  
• Commitmentto quality, safety, and continuous improvement
  
• Abilityto multitask and perform in a fast-paced environment
  
• Abilityto stand, walk, bend, lift up-to 50 pounds, and assist patients as needed
  

What You Can Expect

• PaidTime Off & Holidays
  
• Health& Supplemental Insurance
  
• DirectDeposit
  
• FitnessCenter Membership
  
• EducationReimbursement
  
• RetirementPlan
  

If you're a collaborative nurse leader who thrivesin a fast-paced acute care environment looking to lead a dedicated CaseManagement team while making a lasting impact on patients and their families,we encourage you to apply today!