RN Care Manager FT Days – Northwest Healthcare Tucson
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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. Assists in development, planning, coordination and administration of the activities of clinical review, discharge planning, resource utilization and utilization review.
What You’ll Do
Conduct daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
Collaborate with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
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.
Performs other duties as assigned.
Complies 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
Oro Valley Hospital (OVH) is a 176-bed hospital with a freestanding emergency center, Skilled Nursing Unit, and large physician group. OVH’s culture centers around providing safe, quality care and fostering a work environment based on teamwork and recognition of employees for their care to the community. OVH is an equal opportunity employer.
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