RN Case Manager

Lawrence Memorial Hospital; Lawrence (KS); On-site; USD 70,000 - 100,000; Full time

Job summary

LMH Health is seeking an experienced RN Case Manager to coordinate patient care from assessment through discharge. You will collaborate with patients, families, physicians, and the healthcare team to promote quality, cost-effective outcomes.

The role emphasizes data gathering, goal-setting, plan modification, and advocacy for patient needs, with a strong focus on resource management and interdepartmental communication.

Qualifications

• Registered Nurse with current Kansas nursing license.
• At least one year of hospital case management and/or discharge planning experience.
• Experience or familiarity with InterQual is preferred.

Responsibilities

• Gather relevant data from chart review and patient interviews.
• Identify barriers, clarify goals, and seek potential alternatives.
• Develop treatment and discharge plans with patient, family, physician, and healthcare team to promote positive outcomes and cost-effective care.
• Initiate and modify plans based on treatment response through continuous monitoring and communication with the healthcare team.
• Promote communication between healthcare team, patient/family, and physicians.
• Monitor resource use, patient status, and level of care.
• Communicate with third-party payors to ensure payment and maximize benefits.
• Educate patient/family, physician, and healthcare team on available resources and regulations.
• Represent patient and hospital interests in funding, treatment options, and timelines.

Skills

Case management experience

InterQual knowledge

Registered Nurse

Education

Bachelor of Science in Nursing

Case Management Certification

Job description

Something special starts here. You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.

You'll find everything you're looking for at LMH Health:

• Join a team that cares about the community
• Tuition reimbursement to support continuing education
• Professional development and recognition
• Excellent benefits

We're looking for you.

Job Description

JOB SUMMARY

The RN Case Manager is a collaborative process which assess, plans, implements, coordinates, monitors and evaluates options and services to meet the patient's needs through communication and available resources to promote quality cost-effective outcomes.

ESSENTIAL JOB RESPONSIBILITIES

• Gather all relevant data from chart review and patient interview.
• Objectively identify barriers, clarify/determine realistic goals and seek potential alternatives.
• Work with patient/family/physician/healthcare tam to develop a treatment/discharge plan to promote positive patient outcomes and cost effective care.
• Initiate and implement plan modifications secondary to treatment response through continuous monitoring and communication with the healthcare team.
• Actively promote communication between healthcare team members, patient/family, and physicians.
• Monitor and promote appropriate use of resources, patient status and level of care.
• Communicate with third party payors to ensure payment and maximize benefits.
• Support and educate patient/family, physician, and healthcare team on available resources and regulations.
• Represent the best interest of the patient and hospital by advocating for necessary funding, treatment alternatives, timelines and coordination of health services and re-evaluation of progress and goals.
• Regular and reliable attendance is an essential function of this position

JOB QUALIFICATIONS

• Required:
  • Registered Nurse
  • Current Nursing License in the State of Kansas
  • One year Hospital Case Management and/or Managed Care and Discharge Planning experience
• Preferred :
  • Bachelor of Science in Nursing
  • Case Management Certification
  • Three years Medical/Surgical experience in a clinical setting
  • Experience utilizing InterQual

Our Cultural Beliefs

• People First
• Integrity Matters
• Better Together

At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.