Overview
The RN Case Manager is responsible for the coordination of clinical care, quality, and financial outcomes of a designated population of patients. The RN Case Manager is responsible for overseeing an efficient plan that will ensure continuity and effective community or post-acute reentry. The RN Case Manager leads the interdisciplinary team in developing complex discharge plans.
Reports to: Director Case Management
FLSA: Non-exempt
Facilitates patients care plan as called for in the plan of care
Leads daily discussions regarding patients regarding patients’ progression along the continuum
Works collaboratively as a leading member of the health team to ensure appropriate use of hospital resources, patient satisfaction, and achievement of quality of care, manages input from all healthcare professionals and conducts assessments to determine patient’s healthcare and transitional needs
Evaluates and ensures appropriateness of admissions and continued stay using evidence based criteria
Collaborates and manages outcomes with the payers through ongoing written and verbal communications through appropriate parties
Leads discussions with MDs and physician advisors about safe plan for transitions
*Minimum Education*
Associate’s degree in nursing required.
Bachelor’s degree in nursing preferred.
*Required Skills*
Licenses:
Current/active North Carolina or compact RN license required.
AHA Basic Life Support (BLS) required.
Case Management Certification, preferred
*Required Skills*
Critical thinking skills, decisive judgment, and the ability to organize and prioritize workload to meet deadlines with minimal supervision.
Must possess excellent interpersonal skills to interact with all levels of healthcare providers, support staff, and third-party payors where appropriate
Excellent computer skills
Must possess excellent interpersonal skills
Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payors
*Minimum Work Experience*
5 years recent acute care hospital experience, required
Supervisory experience, preferred
Hospital case management experience strongly preferred
**Job:** **Nursing*
**Organization:** **
**Title:** *Case Mng RN Temp*
**Location:** *NC-Henderson*
**Requisition ID:** *7460-9480*
