Location: St. Mary's Medical Center—Blue Springs, MO
The RN Case Manager is a pivotal member of the healthcare team, combining clinical expertise and patient advocacy to enhance health outcomes. This RN role involves assessing, planning, coordinating, and implementing healthcare strategies to ensure efficient, high-quality patient care. By managing healthcare resources and facilitating communication among multidisciplinary, the RN Case Manager works to achieve optimal patient outcomes and satisfaction.
Benefits
Health, dental, and vision insurance options
Paid vacation, sick time and holidays
Bereavement leave, FMLA and other leave options
Employer 401K options
Tuition reimbursement options
Life, disability, and other insurance options
Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
Develop individualized care plans in collaboration with patients, families, and healthcare teams to optimize health outcomes.
Coordinate transitions of care between acute, post-acute, and community settings to ensure continuity of care.
Monitor patient progress and modify care plans as needed in response to changing health needs.
Advocate for patient needs and preferences within the healthcare system.
Collaborate with physicians, nurses, social workers, and other healthcare professionals to facilitate a team approach to patient care.
Maintain accurate and detailed patient records, ensuring compliance with regulatory standards and healthcare policies.
Stay current with industry trends, new procedures, and case management best practices through ongoing education and training.
Qualifications
Education and Work Experience
Starting April 1 2015. Minimum 5 years of work experience post‑graduation of an accredited school of nursing and a current state Registered Nurse license.
Grandfathered prior to April 1 2015. Minimum 5 years postgraduate of an accredited school of social work for licensed clinical social workers. However, an RN case manager is preferred.
Five years of acute care nursing experience preferred. At least one year of experience in case management, discharge planning, or nursing management is preferred.
Current BCLS (AHA) certificate, preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.
Experience and knowledge in basic to intermediate computer skills.
Equal Employment Opportunity Statement
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf