RN Case Management (2645)
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Job Location:
Monthly Salary:
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Summary:
The RN Case Manager supports coordinated patient-centered care by overseeing utilization review discharge planning and transitions of care from admission through post-discharge. Working collaboratively with physicians nursing staff social workers payers and community partners this role evaluates clinical information identifies patient needs and helps facilitate timely appropriate services across the continuum of care. The RN functions as part of an interdisciplinary care management team contributing clinical insight and coordination to support smooth well-organized care transitions. The position operates within a supportive team-based environment where communication shared accountability and patient advocacy are essential. Through proactive planning patient education and cross-disciplinary collaboration the RN Case Manager contributes to high-quality outcomes safe transitions of care and overall patient satisfaction.
Key Responsibilities:
Licenses and Certifications Required:
Educational Requirements:
Experience Requirements:
Special Skills or Training Requirements:
Physical Requirements:
The RN Case Manager performs duties in both office and clinical care settings requiring periods of sitting for computer-based work as well as standing and walking throughout hospital units. Occasional bending reaching and lifting of light documents or equipment may be required when interacting with patients or retrieving records. Adequate vision hearing and manual dexterity are essential for reviewing clinical information navigating electronic systems and communicating with patients and care teams.
Environmental Requirements:
Work occurs in fast-paced inpatient environments involving patient care areas conference spaces and office settings. The role may be exposed to typical clinical conditions such as noise frequent interruptions and proximity to infectious agents. Adherence to infection-prevention practices safety protocols and confidentiality standards is required. The RN Case Manager must be able to adapt to fluctuating caseloads shifting priorities and time-sensitive patient needs.
The RN Case Manager supports coordinated patient-centered care by overseeing utilization review discharge planning and transitions of care from admission through post-discharge. Working collaboratively with physicians nursing staff social workers payers and community partners this role evaluates clinical information identifies patient needs and helps facilitate timely appropriate services across the continuum of care. The RN functions as part of an interdisciplinary care management team contributing clinical insight and coordination to support smooth well-organized care transitions. The position operates within a supportive team-based environment where communication shared accountability and patient advocacy are essential. Through proactive planning patient education and cross-disciplinary collaboration the RN Case Manager contributes to high-quality outcomes safe transitions of care and overall patient satisfaction.
Key Responsibilities:
- Perform clinical reviews to assess medical necessity level of care and ongoing service needs documenting findings in accordance with regulatory and organizational guidelines.
- Coordinate and implement comprehensive discharge plans collaborating with patients families providers and community resources to ensure safe transitions of care.
- Communicate regularly with physicians nursing staff and payers to clarify clinical information address authorization needs and support timely progression of care.
- Identify barriers that may impact patient flow or discharge readiness and escalate concerns to the Case Management Supervisor or interdisciplinary team as appropriate.
- Provide patient and family education regarding care plans discharge instructions and available resources to promote understanding and successful post-discharge outcomes.
- Maintain accurate timely documentation of assessments communications and interventions within the electronic medical record and case management systems.
Licenses and Certifications Required:
- Current or temporary RN license in ND or compact RN licensure required
- BLS certification required within the orientation period
Educational Requirements:
- BSN preferred
Experience Requirements:
- Must have three (3) years of recent experience in a clinical area
- Prior Case Management/Utilization Review experience preferred
Special Skills or Training Requirements:
- Demonstrated evidence of dependability diplomacy and initiative
- Demonstrated strong communication and interpersonal skills with all levels of internal and external customers including but not limited to medical staff patients and families clinical personnel other Case Managers support and technical staff outside agencies third party payors and members of the community.
- Basic understanding of reimbursement issues denials and DRGs
- Personal computer skills using email and Microsoft Office Suite
Physical Requirements:
The RN Case Manager performs duties in both office and clinical care settings requiring periods of sitting for computer-based work as well as standing and walking throughout hospital units. Occasional bending reaching and lifting of light documents or equipment may be required when interacting with patients or retrieving records. Adequate vision hearing and manual dexterity are essential for reviewing clinical information navigating electronic systems and communicating with patients and care teams.
Environmental Requirements:
Work occurs in fast-paced inpatient environments involving patient care areas conference spaces and office settings. The role may be exposed to typical clinical conditions such as noise frequent interruptions and proximity to infectious agents. Adherence to infection-prevention practices safety protocols and confidentiality standards is required. The RN Case Manager must be able to adapt to fluctuating caseloads shifting priorities and time-sensitive patient needs.
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more
