RN Case Manager: Coordinated Care & Discharge Expert

Mental Health Association of Rochester; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Mental Health Association of Rochester is seeking a Case Manager/Registered Nurse to coordinate comprehensive patient care across the care continuum. You will conduct clinical and psychosocial assessments, develop and manage individualized care plans, and lead safe, timely discharge planning.

As part of the interdisciplinary team, you will collaborate with physicians and social workers, ensure continuity of care, and educate patients and families to improve outcomes.

Qualifications

• Active Registered Nurse license is required.
• Strong clinical assessment and care planning skills are essential.
• Excellent communication, collaboration, and patient advocacy capabilities.
• Ability to manage psychosocial considerations and provide patient education.
• Commitment to quality, safety, and evidence‑based care.

Responsibilities

• Assess patient needs (clinical and psychosocial) and translate into individualized care plans.
• Plan and coordinate discharge to ensure continuity of care.
• Collaborate with physicians, social workers, and the interdisciplinary team to optimize resources.
• Support patient and family education to improve understanding and outcomes.
• Apply evidence-based practice and participate in quality improvement initiatives.
• Work to reduce readmissions through coordinated care management.

Skills

RN license

Clinical assessment

Care planning

Communication & collaboration

Psychosocial education

Quality & safety

Job description

Mental Health Association of Rochester is seeking a Case Manager/Registered Nurse to coordinate comprehensive patient care across the care continuum. You will conduct clinical and psychosocial assessments, develop and manage individualized care plans, and lead safe, timely discharge planning.

As part of the interdisciplinary team, you will collaborate with physicians and social workers, ensure continuity of care, and educate patients and families to improve outcomes.