Registered Nurse (RN) - Care Manager

Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

Responsibilities

Conduct comprehensive assessments and create timely care plans & interventions; Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences; Provide continuity of care and discharge planning aligned with regulatory standards; Coordinate smooth transfers and handoffs across units and settings; Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources; Initiate internal/external referrals; document discharge planning and UM activities accurately and on time; Perform concurrent/retrospective reviews using approved criteria; Partner closely with Social Work and support staff to implement safe, effective plans of care; Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes; Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance; Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes; Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health; Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements; Provide age-appropriate care per departmental standards

Requirements

Registered Nurse License issued by the state in which the Team Member practices; Bachelor's Degree in Nursing; 2 years of clinical nursing experience

Nice to have

Strong preference for prior work experience in RN Case Management

Benefits

$11 hourly premium for hours worked Sat and Sun; Paid Time Off programs; Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability; Flexible Spending Accounts for eligible health care and dependent care expenses; Family benefits such as adoption assistance and paid parental leave; Defined contribution retirement plans with employer match and other financial wellness programs; Educational Assistance Program