CEM – RN Case Manager

Loyal Source is seeking experienced Registered Nurse Case Managers for employment opportunities in a detention facility setting.

The RN Case Manager is a key member of the multidisciplinary healthcare team within a detention facility. This role focuses on coordinating and managing the healthcare needs of individuals in custody by integrating clinical assessment, chronic disease management, care coordination and transfer planning.

Working within a 24/7 primary care environment (medical, dental, behavioral health, and administrative staff), the RN Case Manager ensures timely access to appropriate services, continuity of care within the facility, and safe transitions of care to other correctional facilities or community providers upon transfer or release. The RN Case Manager also supports quality improvement initiatives, policy implementation, and compliance with regulatory and contractual requirements.

Pay Rate: 35.89/hr

• Conducts comprehensive nursing assessments, intake screenings, and health histories to identify medical, mental health, and dental needs requiring ongoing case management.
• Develops, implements, and updates individualized care plans for patients with chronic illnesses, complex medical conditions, or high-risk status.
• Coordinates ongoing care for patients with serious or chronic conditions (e.g., diabetes, hypertension, cardiac disease, infectious diseases, mental health disorders, pregnancy).
• Monitors patient progress and outcomes, adjusting care plans in collaboration with medical, dental, and behavioral health providers.
• Facilitates continuity of care for patients in special housing units, segregation, and infirmary settings when applicable.

• Coordinates referrals and follow-up with onsite and offsite providers, including specialists, hospitals, and behavioral health services.
• Collaborates with detention staff, case workers, and external agencies to plan safe and effective transitions of care (e.g., transfers between facilities, releases to the community).
• Prepares and organizes medical records, summaries, and discharge instructions for patients being transferred or released.
• Ensures appropriate follow‑up appointments, medications, and patient education are arranged at the time of discharge, when feasible and appropriate.

• Reviews requests for offsite specialty care, diagnostics, and procedures, ensuring they are clinically appropriate and timely.
• Tracks and follows up on pending consultations, testing, and procedure results, escalating concerns when necessary.
• Identifies and addresses barriers to access, working with the healthcare team and facility leadership to improve processes.

• Provides direct patient care within the RN scope of practice, consistent with current accepted standards, licensure, certification, and competency as needed.
• Performs sick call assessments and treats acute problems using nursing protocols, referring to providers as appropriate.
• Conducts physical examinations and intake screenings using established tools, referring abnormal findings to medical, dental, or behavioral health providers.
• Administers medications via approved routes as ordered.
• Performs treatments such as wound care, vital sign monitoring, electrocardiograms, and point‑of‑care testing.
• Interprets specimen results or routes results appropriately, and initiates follow‑up actions per protocol.
• Responds to medical emergencies, stabilizes patients, and coordinates transfer to appropriate levels of care.

• Collaborates closely with physicians, advanced practice providers, dentists, behavioral health providers, and other team members.
• Provides clinical supervision to Licensed Vocational/Practical Nurses and unlicensed assistive personnel, as assigned.
• Participates in case conferences, interdisciplinary rounds, and care planning meetings.
• Serves as a resource and advocate for patients, ensuring their healthcare needs are identified, communicated, and addressed.

• Documents all assessments,…