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.

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

RN licensure to practice in the state of Kentucky. Obtain ACM (Accredited Case Manager) certification within 2 years of hire/transfer date. New graduates 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 of employment, the provisional licensee must immediately cease practicing in a licensed nursing position.

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.