RN Case Manager Lead

Fairview Hospital / Cleveland Clinic; Greensboro (NC); On-site; USD 95,000 - 125,000; Full time

Job summary

Fairview Hospital / Cleveland Clinic is seeking a RN Care Management Lead to coordinate care for high-risk patients with complex needs. You will work with inpatient, outpatient, and community teams to create comprehensive discharge plans and ensure smooth care transitions.

The role requires BSN or MSN, an active RN license, and at least 5 years of inpatient case management experience, with ACM-RN or CCM certifications preferred. Leadership, collaboration, and advocacy for resources are essential.

Qualifications

• BSN or MSN required with valid RN license and BLS certification.
• At least 5 years of inpatient case management experience; management background and/or CCM/ACM-RN certifications preferred.
• Strong clinical judgment, interprofessional collaboration, and leadership in complex care coordination.

Responsibilities

• Coordinate care for high-risk patients with complex medical and psychosocial needs.
• Collaborate with inpatient, outpatient, and community teams to develop discharge plans and prevent readmissions.
• Assess patients, use predictive analytics, lead interdisciplinary rounds, and engage post-acute providers and families.

Skills

Clinical judgment

Collaboration

Resource advocacy

Leadership in care coordination

Education

BSN or MSN

Active RN license

ACM-RN or CCM certification

BLS certification

Job description

• The RN Care Management Lead is a senior member of the Case Management team responsible for coordinating care for high-risk patients with complex medical and psychosocial needs.
• They collaborate with inpatient, outpatient, and community teams to develop comprehensive discharge plans, ensure seamless care transitions, and prevent avoidable readmissions.
• The role involves assessing patients, utilizing predictive analytics, facilitating interdisciplinary rounds, and engaging with post-acute providers and families.
• Key responsibilities include advocating for necessary resources, monitoring system barriers, and contributing to process improvements.
• The lead also oversees departmental training, participates in strategic meetings, and ensures compliance with licensure and certification standards.
• Qualifications include a BSN or MSN, at least 5 years of inpatient case management experience (preferably with management background and certifications such as ACM-RN or CCM), along with an active nursing license and BLS certification.
• Skills required encompass clinical judgment, strong collaboration, resource advocacy, and leadership in complex care coordination.