RN Case Manager

Job Summary

The RN Case Manager is responsible for promoting patient-centered care by coordinating the patient’s plan of care, managing length of stay, ensuring appropriate resource management, and developing a safe discharge plan in collaboration with the multidisciplinary team. The RN Case Manager facilitates the progression and transition of care using established criteria and supports a balance of optimal care and resource utilization.

• Provides case management services for both inpatient and observation patients as assigned.
• Identifies patients at risk for adverse outcomes during transition from one level of care or setting to another.
• Performs a comprehensive assessment of psychosocial, medical, and discharge needs of patients and families, and evaluates available resources.
• Reassesses the patient’s clinical condition as indicated, considers readmission risk, and develops strategies to mitigate it, including education on accessing healthcare resources and preventive care.
• Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary team, particularly the patient’s physician, to facilitate a successful care transition.
• Partners with Social Services to ensure post‑acute medical needs and level of care are appropriate and makes timely referrals when psychosocial determinants of health are identified.
• Involves patients, families, and significant others in identifying and clarifying needs and expectations to develop realistic goals.
• Evaluates progression of care using evidence-based tools and approved criteria (Inter Qual), escalating issues through the established chain of command.
• Makes appropriate referrals to third‑party payers and disease and case management programs for recurring patients and those with chronic disease states.
• Facilitates patient throughput with a focus on effective care transition, quality, and efficiency.
• Documents professional recommendations, discharge plans, care coordination interventions, and case management activities for effective communication with the health care team.
• Aligns patient needs with available resources to ensure a safe discharge and transition.
• Practices and adheres to the Code of Conduct and Mission and Value Statement.

• RN License (required)
• Associate Degree in Nursing or Nursing Diploma (required)
• Bachelor’s Degree in Nursing (preferred)
• 2+ years experience in case management OR 3+ years experience in clinical nursing (required)
• Inter Qual experience (preferred)

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support including free counseling and referral services.
• Time away from work through paid time off, paid family leave, long‑ and short‑term disability coverage, and leaves of absence.
• Savings and retirement resources such as a 401(k) plan with 100% match on 3% to 9% of pay based on years of service, Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, and retirement readiness tools.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.