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Job Summary The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.
Essential Functions Conduct daily reviews of medical records to assess admission appropriateness and utilization.
Collaborate with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care.
Develop and implement discharge plans, coordinating post-hospital placement and social services to meet patient needs.
Refer cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
Serve as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitate interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintain accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
Identify and appropriately refer cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
Provide professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
Perform other duties as assigned.
Maintain regular and reliable attendance.
Comply with all policies and standards.
Qualifications Bachelor's Degree in Nursing preferred.
2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required.
2-4 years of care management experience preferred.
Knowledge, Skills and Abilities Strong understanding of case management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and Joint Commission standards related to case management.
Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
Ability to assess complex situations, identify solutions, and implement care plans efficiently.
Proficiency in electronic medical records (EMR) and documentation systems.
Strong organizational and time‑management skills to prioritize tasks in a dynamic environment.
Licenses and Certifications RN – Registered Nurse – State Licensure and/or Compact State Licensure required.
BCLS – Basic Life Support required.
State Specific Requirements Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.
Seniority level Entry level
Employment type Part-time
Job function Health Care Provider
Industries Hospitals and Health Care
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