Registered Nurse Case Manager

Core Responsibilities

• Engage comprehensively in the Case Management Program (CMP), ensuring adherence to established standards for case management (CM) care.
• Leverage nursing expertise to navigate the CM process encompassing assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM enhancements and seamlessly integrate local CM methodologies.
• Formulate and execute localized strategies for case management using a mix of inpatient, outpatient, onsite, and telephonic approaches.
• Develop and implement supportive tools for case management, including those for patient identification and assessment, clinical practice guidelines, decision‑making algorithms, CM software, and community resource databases.
• Synthesize CM with utilization management (UM), ensuring smooth integration between nursing case management and social work case management practices.
• Foster professional relationships with pertinent community organizations and agencies.
• Collect and accurately document patient care data for effective decision‑making and continuity of care.
• Design comprehensive treatment plans that encompass preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions, ensuring a focus on optimal patient wellness.
• Establish robust mechanisms for the implementation of patient treatment plans and facilitate follow‑up care in ambulatory and community healthcare settings post‑discharge.
• Deliver targeted health care education to patients and/or caregivers, tailored to identified learning needs.

Monday to Friday, requiring 8.5 to 9 hours of work between 7:30 AM and 5:30 PM, inclusive of a lunch break. No weekend or holiday obligations, with no on‑call or callback responsibilities.

• Education:
  
  Bachelor of Science in Nursing (BSN).
• Experience:
  
  A minimum of one year of experience as an RN Case Manager within the past three years.
• License:
  Must possess an active, unrestricted RN license.
• Board Certification:
  Required to obtain a case management‑related certification within six months of hire. Employer reimbursement available.
• Life Support
  
  Certifications:
  
  Basic Life Support (BLS).
• Security Clearance:
  Must successfully pass a government background check and obtain the necessary government security clearance.