Registered Nurse; RN Case Manager

Registered Nurse (RN) Case Manager

Aurora Health Care, Milwaukee, WI, USA

Base pay range: $37.50/hr - $56.25/hr

Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

• Conduct comprehensive assessments and create timely care plans & interventions
• Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
• Provide continuity of care and discharge planning aligned with regulatory standards
• Coordinate smooth transfers and handoffs across units and settings
• Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
• Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
• Perform concurrent/retrospective reviews using approved criteria
• Partner closely with Social Work and support staff to implement safe, effective plans of care
• Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
• Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
• Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required time frames
• Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
• Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
• Provide age-appropriate care per departmental standards

• Registered Nurse License issued by the state in which the Team Member practices
• Bachelor’s Degree in Nursing
• 2 years of clinical nursing experience

Monday through Friday, occasional weekends and holidays

Aurora St. Luke’s Medical Center is a 938-bed qua ternary acute care community hospital in Milwaukee, WI. The organization offers leading edge oncology, cardiovascular and neurology therapies for primarily adult patients.

Aurora St. Luke’s has been recognized for Nursing Excellence by the American Nurses Credentialing Center Magnet Recognition Program® since 2001.

Not Applicable

Full-time

Other

Hospitals and Health Care

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