RN Case Manager - Inpatient - Weekdays

Position Details

Employment Status:
Full time

Shift: Day/Evening (United States of America)
Facility: 1906 Belleview Ave SE - Roanoke
Requisition Number: R151590 RN Case Manager - Inpatient - Weekdays (Open)

• Provide case management to assigned patient populations.
• Conduct patient needs assessments upon admission and at regular intervals.
• Promote cost‑effective care by minimizing fragmentation and maximizing coordination.
• Facilitate referrals and linkages to health, wellness, and post‑acute care resources across the continuum.
• Promote interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan.
• Ensure compliance with federal and state regulations surrounding the discharge process.
• Maintain documentation that accurately reflects the patient’s condition, co‑morbidities, and treatment supporting admission status and DRG assignment.
• Communicate financial implications of discharge plans to patients/families.
• Participate in Interdisciplinary Team Meetings and share progress and barriers.
• Coordinate care with Utilization Review nurses, Social Work, and other disciplines.
• Use Inter Qual software and predictive analytic tools to support accurate patient statuses.
• Facilitate medication assistance, prior authorizations, and co‑pay information to ensure discharge medication needs are met.
• Advocate for the patient and family throughout the episode of care.
• Engage in departmental performance‑improvement initiatives and analyze patient care data.

• Attend unit‑based IDR morning and afternoon huddles.
• Coordinate referrals for DME, HH, Hospice.
• Utilize predictive analytic software (e.g., JVION).
• Complete face‑to‑face patient assessments.
• Communicate with assigned UR nurse and SW partner.
• Reassess patients and document status of referrals and barriers.
• Assist in regulatory letter delivery (IM, HINN).
• Integrate Inter Qual information during unit huddles.
• Provide medication assistance (RX Help, CMAP).
• Initiate medication investigations (authorization, co‑pay).
• Communicate post‑acute care needs of inmates during transitions back to jail.
• Assist in acute‑acute and transitions of care.
• Maintain awareness and anticipate unit‑based patient needs.
• Provide hand‑off communication of unit needs during weekday and weekend transitions.

• Registered Nurse (RN) license in Virginia.
• Bachelor’s degree in Nursing required (five years of RN experience in a hospital setting may be considered in lieu of a bachelor’s).
• Three years of recent experience in a clinical health‑care setting with direct patient care management responsibilities.
• Experience in discharge planning, utilization management, and psychosocial support.
• Leadership or supervisory experience preferred.
• Current AHA BLS‑HCP certification within six months of hire.
• Strong interpersonal, written, and verbal communication skills.
• Demonstrated ability to resolve complaints, work collaboratively, and maintain customer‑focused service philosophy.
• Computer literacy and proficiency with system resources, Inter Qual, and predictive analytics.

Carilion Clinic is an Equal Opportunity Employer. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug‑Free Workplace.

• Comprehensive Medical, Dental, and Vision benefits.
• Employer‑funded pension plan, vested after five years (voluntary 403B).
• Paid Time Off accrued from day one.
• On‑site fitness studios and discounts to our wellness centers.
• Access to our health and wellness app, Virgin Pulse.
• Discounts on childcare.
• Continued education and training opportunities.