Case Manager, Registered Nurse (RN)

Case Manager Registered Nurse (RN)
Job Type: FT Days

Your experience matters

At Highpoint Health Sumner we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here youre not just valued as an employee but as a person. As aregistered nurse (RN)joining our team youre embracing a vital mission dedicated tomaking communities healthier. Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

Youll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

What we offer

Fundamental to providing great care is supporting and rewarding our addition to your base compensation this position also offers:

• Comprehensive medical dental and vision plans plus flexible-spending and health- savings accounts
• Competitive paid time off for full-time employees
• Income-protection programs such as life accident critical-injury insurance short- and long-term disability and identity theft coverage
• Tuition reimbursement loan assistance and 401(k) matching
• Employee assistance program including mental physical and financial wellness
• Professional development and growth opportunities

Case Manager Registered Nurse - Non-Exempt Position Summary

Monitors and manages patient care to promote continuity of care optimal outcomes patient satisfaction cost efficiency and regulatory compliance. Collaborates with the multidisciplinary team payors and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of Department.

Essential Functions

• Consults regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care including admission length of stay transfers and discharge.
• Monitors patient and family satisfaction; responds to questions and complaints from patients families and payors.
• Leads and coordinates discharge planning including patient transfers to other facilities and referrals to community resources; provides discharge education.
• Performs chart reviews to identify and address issues related to service delivery patient outcomes and satisfaction compliance cost and reimbursement.
• Communicates effectively with providers payors and ancillary services to remove barriers and ensure timely care progression.
• Accurately documents case management activities plans and outcomes.
• Participates in performance improvement and required continuing education.
• Supports department operations by working alternate shifts/units as needed; may be assigned on-call.
• Performs other duties as assigned.

Additional Information

Patient Populations Served: Neonate Infant Early Childhood Late Childhood Adolescent Young Adult Middle Adult Older Adult. Protected Health Information Accessed: Demographic Clinical Insurance Financial Complete Medical Record. Exposure: Occupational exposure to bloodborne pathogens may be present. Physical Requirements (typical): Frequent keyboard data entry sitting standing walking and repetitive hand/arm movements; occasional kneeling squatting pushing/pulling and lifting/carrying up to 25 lbs; rare climbing or running. Vision demands include near/far vision and depth perception (constant); color distinction frequent; smell and taste rarely required.

Knowledge Skills & Abilities

Education: Associates Degree in Nursing required; Bachelors Degree in Nursing preferred. License/Certifications: Current RN license in state of practice; BCLS required. Skills: Critical thinking and decisive judgment; ability to work with minimal supervision in stressful environments. Proficiency learning/navigating multiple clinical software systems. Effective English communication (read write speak and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.

About our Health System
Highpoint Health Sumner is a 167-bed hospital located in Gallatin TN and is part ofLifepoint Health a diversified healthcare delivery network committed tomaking communities healthierwith acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

EEOC Statement

Highpoint Health Sumneris an Equal Opportunity Health Sumneris committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.