RN Case Manager Inpatient Psych

Job Summary and Qualifications

The RN Case Manager will facilitate the interdisciplinary plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management. The role is responsible for coordinating activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. It also involves identifying potential barriers to patient throughput and quality outcomes and facilitating appropriate discharge plans.

• Performs a comprehensive assessment of psychosocial and medical needs of assigned patients.
• Develops a case management plan of care to include identified clinical, psychosocial, and discharge needs, coordinates plan of care, ensures it is documented in the medical record, and communicates it to appropriate clinical disciplines.
• Assumes a leadership role with the interdisciplinary team to manage care through criteria‑driven processes for appropriate level of care, patient status, and resource utilization.
• Conducts interdisciplinary team meetings to provide a mechanism for all clinical disciplines to collaborate, plan, implement, and assess the plan of care. Patient selection is based on criteria and interventions are documented.
• Evaluates admissions for medical necessity using approved criteria at defined intervals throughout the episode of care, and escalates medical necessity and admission status issues through established chain of command.
• Performs utilization management reviews and communicates findings to third‑party payors.
• Acts as a liaison through effective and professional communication between physicians, patients, families, hospital colleagues, and outside agencies.
• Documents professional recommendations, care coordination interventions, and case management activities to effectively communicate to all members of the healthcare team.
• Promotes and displays a positive customer‑oriented demeanor to patients, visitors, staff, and physicians.
• Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
• Demonstrates knowledge of the occurrence reporting system and uses it to report potential patient safety issues.
• Uses the Performance Improvement Plan to improve patient safety.

• Nonviolent Crisis Intervention certification obtained within 90 days of employment start date
• Fingerprinting required
• Registered Nurse (RN) license
• Associate Degree in Nursing (or higher)

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services
• Wellbeing support, including free counseling and referral services
• Paid time off, paid family leave, long‑ and short‑term disability coverage, and leaves of absence
• 401(k) plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships, and partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note:

Eligibility for benefits may vary by location.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.