RN Case Manager (Med-Surg) – Flexible PRN

Avera Health; Mitchell (SD); On-site; USD 43,000 - 64,000; Full time

Job summary

Avera Queen of Peace Hospital is seeking a Registered Nurse to serve as a Case Manager, coordinating care across the multidisciplinary team to promote optimal patient outcomes. You will facilitate transitions between levels of care and ensure efficient resource use.

The role emphasizes liaison work with hospitals and payors, patient education, documentation, and timely authorizations. Prior experience and an active RN license are required, with PRN flexibility and the potential for weekly

Qualifications

• Active RN license in the state of practice.
• Ability to communicate effectively with patients, families and care teams.
• Good documentation and coordination skills.
• Compliance with CMS, Joint Commission and OSHA standards.

Responsibilities

• Acts as liaison with hospitals and other health care services to provide treatment advice and lobby on behalf of patients to various payor sources.
• Identifies community resources which can provide assistance with non-covered benefits such as medications, nutritional supplements, transportation or durable medical equipment.
• Provides patient care and assisting provider as needed.
• Completes documentation, obtain insurance prior authorizations, and coordinates scheduling of procedures, testing and treatments.
• Performs and assists with medical treatment teaching and follow-up care with patients and their families regarding their healthcare needs.
• Assists with updating all policies and procedures pertinent to the area of responsibility.
• Assists with the review and development of education materials offered to patient.
• May attend discharge planning meetings to facilitate and coordinate the post procedure needs of all discharged patients.

Skills

Communication

Care coordination

Documentation

Team collaboration

Education

RN License

Job description

Avera Queen of Peace Hospital is seeking a Registered Nurse to serve as a Case Manager, coordinating care across the multidisciplinary team to promote optimal patient outcomes. You will facilitate transitions between levels of care and ensure efficient resource use.

The role emphasizes liaison work with hospitals and payors, patient education, documentation, and timely authorizations. Prior experience and an active RN license are required, with PRN flexibility and the potential for weekly