Job Summary
Join our dynamic healthcare team as an RN Case Manager, where your expertise in acute and post-acute care will drive exceptional patient outcomes. In this vital role, you will coordinate comprehensive care plans, facilitate seamless discharge processes, and ensure optimal utilization of healthcare resources. Your critical care experience, combined with a passion for patient service, will empower you to assess complex cases efficiently and advocate for patients across diverse clinical settings. This position offers an energetic environment focused on collaboration, continuous improvement, and delivering compassionate, high-quality care.
Duties
- Conduct thorough patient assessments, including vital signs, medical history review, and physiological evaluations to determine care needs.
- Develop and implement individualized care plans aligned with best practices in hospital medicine, emergency medicine, and specialty areas such as ICU, PICU, or Geriatrics.
- Coordinate inpatient and outpatient services, ensuring smooth transitions from hospital to post-acute or community settings through effective discharge planning.
- Manage utilization review and management processes by evaluating diagnostic evaluations, medical records, and treatment appropriateness to optimize resource use.
- Collaborate with multidisciplinary teams—including physicians, therapists, social workers, and managed care providers—to deliver holistic patient care.
- Facilitate patient intake procedures and monitor ongoing patient service needs within hospital or clinic environments.
- Ensure compliance with HIPAA regulations and maintain accurate documentation of medical records and case management activities.
- Participate in quality improvement initiatives by analyzing patient outcomes related to infectious disease care, trauma cases from Level I/II trauma centers, or behavioral health interventions.
Qualifications
- Valid RN license with current state registration; additional certifications in case management or specialty areas are a plus.
- Extensive hospital experience across various units such as ICU, ER, Medical-Surgical wards, or Geriatrics; trauma center experience highly preferred.
- Critical care experience including Level II trauma center or Level I Trauma Center exposure is highly desirable.
- Strong knowledge of physiology, medical terminology, diagnostic evaluation techniques, and acute care protocols.
- Proven ability to perform comprehensive patient assessments and develop effective discharge plans in inpatient or outpatient settings.
- Experience with utilization management systems and familiarity with managed care principles.
- Excellent communication skills for patient service delivery and interdisciplinary collaboration.
- Ability to handle complex cases involving infectious diseases or behavioral health issues with professionalism and empathy. Embark on a rewarding career where your expertise makes a tangible difference! We’re dedicated to fostering a supportive environment that values your skills in nursing, case management, and patient advocacy—empowering you to excel every day while advancing your professional growth.
MTK-1
Pay: $60.00 - $70.00 per hour
Experience:
- Case management: 2 years (Required)
License/Certification:
- RN License (Required)
- BLS Certification (Required)
Work Location: On the road
