Case Manager, Registered Nurse NonExempt

RN Case Manager

Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance.

Reports to:

Director of Quality

FLSA:
Non-exempt

Education:

Graduate of a Program in Discipline Required;
Graduate from an accredited school of nursing BSN Preferred

Licenses: RN licensure to practice in the state of Kentucky;
Obtain ACM (Accredited Case Manager) certification within 2 years of hire/transfer date.

• May work under a KY provisional license for up to 6 months with the expectation that an RN license will be obtained within the first 6 months of employment. If an RN license is not earned within 6 months, the provisional licensee must immediately cease practicing in a licensed nursing position.

Certifications:

Basic Life Support (BLS) - to be obtained within 30 days

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status and appropriateness of medical care, including admission, length of stay, transfer and discharge.

Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.

Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.

Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.