RN Case Management

Position: RN Case Management (2645)
Position Summary:

The RN Case Manager supports coordinated, patient-centered care by overseeing utilization review, discharge planning, and transitions of care from admission through post-discharge. Working collaboratively with physicians, nursing staff, social workers, payers, and community partners, this role evaluates clinical information, identifies patient needs, and helps facilitate timely, appropriate services across the continuum of care. The RN functions as part of an interdisciplinary care management team, contributing clinical insight and coordination to support smooth, well-organized care transitions.

The position operates within a supportive, team-based environment where communication, shared accountability, and patient advocacy are essential. Through proactive planning, patient education, and cross-disciplinary collaboration, the RN Case Manager contributes to high-quality outcomes, safe transitions of care, and overall patient satisfaction.

Key Responsibilities:

* Perform clinical reviews to assess medical necessity, level of care, and ongoing service needs, documenting findings in accordance with regulatory and organizational guidelines.

* Coordinate and implement comprehensive discharge plans, collaborating with patients, families, providers, and community resources to ensure safe transitions of care.

* Communicate regularly with physicians, nursing staff, and payers to clarify clinical information, address authorization needs, and support timely progression of care.

* Identify barriers that may impact patient flow or discharge readiness and escalate concerns to the Case Management Supervisor or interdisciplinary team as appropriate.

* Provide patient and family education regarding care plans, discharge instructions, and available resources to promote understanding and successful post-discharge outcomes.

* Maintain accurate, timely documentation of assessments, communications, and interventions within the electronic medical record and case management systems.