RN-Case Manager

Position

RN Case Manager – Case Management Department (Kaweah Health)

Kaweah Health is a publicly owned, community‑healthcare organization serving the greater Visalia area in central California.

With more than 5,000 employees, Kaweah Health maintains a 613‑bed, eight‑campus healthcare district offering comprehensive health services across a broad continuum of care. The organization is committed to delivering personal, professional, and compassionate care.

Full‑time, Day – 8 hour or less shift (United States of America). Eligible for full‑time benefits.

• Identify needs and facilitate provision of services with physicians, nurse managers, and multidisciplinary team members as patients move through the continuum of care.
• Act as a resource for clinical care issues, develop action plans, and facilitate communication with appropriate physician(s).
• Assist and communicate with physician offices and all appropriate departments regarding new admissions and demographic data that may affect patient care.
• Evaluate the assessment process for new patients within 30 days, develop Care Management Plans addressing Social Determinants of Health (SDOH) barriers.
• Establish specific plans with action steps for each patient, collaborating with the patient/family, care team, and physician(s) to determine goals and objectives that incorporate physical and psychological factors.
• Lead the assessment of care plan progression and revise the plan as necessary.
• Round with physicians and multidisciplinary team and coordinate with the team to ensure graduation‑planning goals and objectives are developed and modified as needed.
• Lead the timely, cost‑effective, and safe movement of patients through the continuum of care, organize and integrate resources, and supervise implementation of the treatment plan.
• Document in the electronic health record—patient progress notes, significant data, problems, assessment needs, and treatment goals—and make timely referrals for services.
• Evaluate care plan appropriateness, monitor progress, and suggest appropriate care levels when changes arise.
• Review medical records for proper documentation of services, evidence of functional progress, and adjust the plan of care as appropriate.
• Provide patient/family advocacy, support patient autonomy, confidentiality, and ethical decision‑making.

• License / Certification:
  California RN license; BLS;
  Preferred: BSN, MSN, or current RN‑BSN student.
• Experience:
  
  Two years of acute‑care clinical nursing experience (LVN/RN) with at least one year as an RN.

• Emergency Department:
  Must have three years of RN experience in an Emergency Department or Critical Care setting.

• Post Acute Care Case Manager: Review and screen 100% of patients, interview, gather data to formulate post‑acute plans, facilitate efficient transfer to TCS with proper documentation.
• Program Liaison for Inpatient Rehabilitation: Implement patient programs, orient patients/families, facilitate discharge, coordinate follow‑up services.
• Cardiac Surgery Care Coordinator: Liaison to patients, families, and cardiac team; provide updates during surgery, coordinate care with referral physicians, assist with discharge plans.
• Population Health RN Case Manager: Provide clinical resources for population health programs, address SDOH, communicate with multidisciplinary team.

Pay range: $46.44 - $69.66.