Registered Nurse; RN | North | Case Manager

Case Manager I

The Case Manager is responsible for coordination of care and service delivery for an assigned group of patients and for promoting inter‑dependent communication and collaboration with the patient, caregiver, physician and other members of the health‑care management team. The Case Manager will assess, implement, coordinate, monitor and evaluate available services and resources to promote quality, cost‑effective outcomes appropriate to each patient’s needs and resources.

In collaboration with patient/family, physicians and the interdisciplinary team, the Case Manager I coordinates patient‑centered care and service delivery to facilitate optimal transitions and progression in care. The Case Manager manages clinical resources and transition planning for patients within an assigned caseload from pre‑admission through post‑discharge, actively working to identify and eliminate barriers to the delivery of clinical services to promote quality, cost‑effective outcomes appropriate to patient needs.

• Demonstrate the values and professional standards of nursing practice while collaborating with members of the health‑care team to ensure the multidisciplinary plan of care is developed, implemented, evaluated, and modified as needed.
• Coordinate the delivery of clinical services to ensure patient clinical outcomes, quality indicators, and cost‑effectiveness goals are achieved.
• Strategize with physicians, specialists, and payors to develop and implement appropriate care delivery strategies for assigned patients.
• Conduct an initial assessment of all assigned patients to identify readmission risk factors, patient strengths, barriers, and needs related to clinical resource utilization and transition planning.
• Initiate, implement, document, and evaluate transition plans for patients within the assigned caseload.
• Communicate relevant and timely information to all appropriate stakeholders, including physicians, care team members, patients, and families; provide education to patients and caregivers to support informed decision‑making and successful transitions of care.
• Plan care activities effectively to meet individual patient needs, proactively manage length of stay, and promote efficient utilization of resources, including fiscal, human, environmental, equipment, and service resources.
• Advocate for safe, timely, and appropriate discharge of patients to home or community‑based resources, and support preventive care and post‑discharge follow‑up to reduce avoidable readmissions.
• Maintain accurate, timely, and reliable systems for documentation, tracking, and monitoring of assigned cases in accordance with regulatory, organizational, and professional standards.
• Perform additional duties and responsibilities as assigned to support department and organizational goals.

• Required – Associate’s Degree in Nursing
• Preferred – Bachelor’s Degree in Nursing

• Required – 1–3 years of clinical healthcare (acute or hospital) experience (minimum 2 years)

• Comprehensive understanding of nursing interventions and their application across the continuum of care.
• Ability to collaborate effectively with interdisciplinary team members within a collaborative care framework.
• Demonstrated ability to establish and maintain constructive relationships with patients and families, including skill in navigating complex or challenging social situations.
• Proven ability to develop, maintain, and sustain effective working relationships with physicians and to collaborate with health‑care professionals at all organizational levels to achieve established clinical, quality, and operational goals.
• Demonstrated excellence in facilitation, coordination, and consensus‑building skills.
• Strong organizational skills, including the ability to plan, prioritize, and schedule tasks while maintaining control of one’s workflow and caseload.
• Ability to exercise initiative, independent judgment, and sound decision‑making supported by critical thinking and clinical reasoning skills.
• Adaptability and resilience in a fast‑paced health‑care environment characterized by continual…