RN Case Management Manager | Lead Patient Care & Care Transitions

The Staff Pad; Ohio; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Paid Time Off

Health & Supplemental Insurance

DirectDeposit

FitnessCenter Membership

Education Reimbursement

Retirement Plan

Job summary

The Staff Pad is partnering with a respected healthcare organization in Hamilton to recruit an experienced RN Case Management Manager who leads patient care transitions and champions safe, efficient discharge planning.

You will oversee a high-performing Case Management team, collaborate with physicians, nurses and social work to remove barriers to timely discharge, ensure regulatory compliance, and advocate for patients throughout the continuum of care.

Qualifications

• Graduate of an accredited School of Nursing.
• RN license in Texas; CPR/BLS current; ACLS preferred.
• 5+ years of registered nurse experience; case management leadership experience preferred.

Responsibilities

• Conduct discharge planning and timely discharge assessments.
• Lead and coordinate case management activities from admission to discharge.
• Collaborate with physicians, nursing staff, and social work to remove discharge barriers.
• Ensure compliance with regulatory requirements and utilization management policies.
• Educate patients and families; liaison among patients, families, and care teams.

Skills

RN leadership

Utilization management

Discharge planning

Regulatory compliance

Interdisciplinary collaboration

Patient advocacy

Education

Nursing degree

Job description

RN Case Management Manager | Lead Patient Care & Care Transitions

Hamilton, United States

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