RN Case Management Manager | Lead Patient Care & Care Transitions

Hamilton, United States | Posted on 07/09/2026

The Staff Pad is proud to partner with a respected healthcare organization in Hamilton, TX to recruit an experienced Case Management Manager who is passionate about improving patient outcomes, leading high-performing teams, and ensuring safe, efficient transitions of care.

The Case Management Manager leads and supports theCase Management team in coordinating patient care from admission throughdischarge. This role collaborates closely with physicians, nursing staff, and interdisciplinary teams to remove barriers to timely discharge, improve patient outcomes, ensureregulatory compliance, and promote cost-effective care while maintaining the highest standards of patient advocacy

What You’ll Do

Key Responsibilities

• Conductdischarge assessments on admission & develop timely, appropriatedischarge plans
• Perform daily patient assessments, monitor, evaluate & document patientprogress
• Coordinate post-hospital care & coordinate discharge to home and other care settings
• Provide,document, and coordinate patient and family education; serve as liaison among patients, families, physicians, and the care team
• Documentdischarge services accurately and timely in accordance with hospital policy
• Maintainindividualized patient care plans and update them based on changes inpatient status
• Reviewdenials, identify appeal needs, and ensure appropriate appeal completion
• Reviewcontinued stay, medical necessity, medical reports and treatment plans
• Facilitateaccess to financial assistance, advance directives, legal aid, education and medication assistance programs
• Coordinate patient care and rehabilitation using consultation findings and social work expertise
• Partner with Quality Improvement to enhance patient safety, establish goals, andsubmit monthly quality reports
• Reviewpayer-requested charts and communicate clinical information to payers
• Maintainreferral source database & refer patients, families to community resources
• Identifybarriers to patient progress & perform social work duties as needed
• Documentongoing physiological, psychosocial assessments, patient and family education and responses & interdisciplinary care plan recommendations
• Validate,transcribe, and co-sign physician orders; report patient progress, andadvise physicians and departments on utilization management regulations
• Performutilization reviews in compliance with state regulations and evolvingutilization management regulations
• Monitor daily case management needs & maintain collaborative staff relationships
• Communicatedischarge plans with physicians and complete follow-up calls within threedays of discharge

Additional Responsibilities

• Assist with coordinating quarterly utilization review committee activities and updating policies and procedures
• Performregistered nurse duties in accordance with the RN job description
• Maintain confidentiality and HIPAA compliance when handling sensitive information
• Adhereto organizational behavioral standards personnel policies and customer service expectations
• Perform other duties as assigned

What We Are Looking For

Qualifications

• Graduate of an accredited School of Nursing
• RNlicense in the State of Texas, Current CPR, BLS certification; ACLSpreferred
• 5+years of Registered Nurse experience;
  Case Management leadership experience preferred
• Knowledge of utilization management, discharge planning, and regulatory requirements

Additional Requirements

• Compassionate and patient-focused leadership
• Excellent communication, relationship-building, clinical judgement and problem-solving skills
• Commitment to quality, safety, and continuous improvement
• Abilityto multitask and perform in a fast-paced environment
• Abilityto stand, walk, bend, lift up-to 50 pounds, and assist patients as needed

What You Can Expect

• Paid Time Off & Holidays
• Health& Supplemental Insurance
• Direct Deposit
• Fitness Center Membership
• Education Reimbursement
• Retirement Plan

If you're a collaborative nurse leader who thrivesin a fast-paced acute care environment looking to lead a dedicated Case Management team while making a lasting impact on patients and their families,we encourage you to apply today!