Employment Status: Full time Shift: Weekends Only (United States of America) Facility: 1906 Belleview Ave SE - Roanoke Requisition Number: R163309 RN Case Manager - Weekends (Open)
How You'll Help Transform Healthcare:
The RN Case Manager provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. performs patient needs assessments upon admission and at regular intervals; facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum.
The RN Case Manager
- Provides care management for assigned patient populations, utilizing clinical expertise, communication, and problem‑solving skills to achieve optimal clinical and resource outcomes.
- Performs patient needs assessments upon admission and at regular intervals to support care planning, discharge planning, and transitions across the continuum of care.
- Facilitates safe and effective transitions of care, including coordination of post‑acute services such as home health, hospice, and durable medical equipment.
- Promotes interdisciplinary collaboration with physicians, nursing, social work, utilization review, and other care team members to ensure alignment of the plan of care and discharge plan.
- Ensures appropriate utilization of resources, length of stay management, and compliance with regulatory and payer requirements.
- Collaborates with Utilization Review to ensure accurate patient status and medical necessity using tools such as InterQual.
- Coordinates with patients and families to ensure understanding of discharge plans, including financial implications and available resources.
- Ensures documentation accurately reflects patient condition, comorbidities, treatment, and interventions in accordance with regulatory and organizational standards.
- Coordinates referrals and authorizations for medications, services, and post‑acute care needs to prevent discharge delays.
- Facilitates communication and coordination for patient transfers, including acute‑to‑acute transitions and transitions involving correctional facilities.
- Identifies and addresses barriers to discharge and implements appropriate interventions.
- Participates in interdisciplinary team meetings and contributes to care progression and discharge planning discussions.
- Maintains effective communication with all disciplines to support timely and appropriate patient care transitions.
- Engages in performance improvement initiatives and utilizes predictive analytics tools to support patient outcomes and reduce readmissions.
- Collects and analyzes patient care and utilization data to support quality and fiscal outcomes.
- Advocates for patients and families throughout the episode of care.
What We Require:
- Education: Associate Degree in Nursing or diploma from an accredited nursing program required.
- Experience: 3 years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management.
- Licensure, Certification, and/or Registration: Current Registered Nurse licensure in Virginia required. AHA BLS- HCP required within 6 months of hire.
- Other Minimum Qualifications: Effective interpersonal, oral, and written communication skills required. Demonstrated integrity, innovation, diplomacy, assertiveness, flexibility, and perseverance required. Ability to work collaboratively as an integral member of a multidisciplinary team required. Strong customer service orientation and the ability to resolve complaints and problems effectively required. Effective negotiation and relationship‑building skills required. Computer literacy required.
Compensation Range:
$76,689.60 - $115,044.80 Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more