RN Case Manager: Care Coordination & Discharge Planning

Socket.dev; Watertown (WI); On-site; USD 80,000 - 105,000; Full time

Job summary

ScionHealth is seeking an RN–Case Manager to assess, plan, coordinate, and monitor care for patients, ensuring high-quality outcomes and regulatory compliance. The role emphasizes discharge planning, collaboration with interdisciplinary teams, and effective communication with payers.

Ideal candidates hold an Associate Degree in Nursing with preferred BSN, and have experience in acute or post-acute settings, with strong EMR proficiency and patient advocacy skills.

Qualifications

• Advanced case management principles and patient advocacy.
• Discharge planning and care coordination across disciplines.
• Familiarity with payer requirements and utilization review.
• Knowledge of CMS/Medicare/Medicaid guidelines.

Responsibilities

• Assess, plan, coordinate, and monitor healthcare services for patients.
• Review documentation and ensure timely, cost-effective care.
• Arrange post-discharge services including home health and equipment.
• Collaborate with physicians, patients, families, and teams.
• Communicate with payers for authorization and approvals.
• Document activities in the EMR and participate in quality improvement.

Skills

Case management

Critical thinking

Communication

Payer/Utilization knowledge

EMR proficiency

Independence

Privacy & ethics

Education

Associate Degree in Nursing

BSN preferred

Tools

EMR systems

Job description

ScionHealth is seeking an RN–Case Manager to assess, plan, coordinate, and monitor care for patients, ensuring high-quality outcomes and regulatory compliance. The role emphasizes discharge planning, collaboration with interdisciplinary teams, and effective communication with payers.

Ideal candidates hold an Associate Degree in Nursing with preferred BSN, and have experience in acute or post-acute settings, with strong EMR proficiency and patient advocacy skills.