Job Summary
The The RN Case Manager (RN CM) utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated patient population across the continuum of care. The responsibilities include, but are not limited to, clinical effectiveness, discharge planning, care coordination, and clinical resource management. The RN CM interacts with Medical, Nursing, and Ancillary department staff to facilitate quality-based, cost-effective patient outcomes and ensure care is provided in the most appropriate setting.
Duties & Responsibilities
- Transition of Care Planning
- Utilization Review
- Point of Entry and Emergency Department Duties, when applicable per assignment
- Utilization Review for POE/ED RN Case Manager
- Resource Allocation for POE/ED RN Case Manager
- Quality and Compliance
- Performs other duties as required
Requirements
Must have and maintain license as Registered Nurse in Rhode Island. Minimum of 3 to5 years related clinical and/or Case Management experience required. As of 1/1/16, Certification in Case Management (CCM or ACM) earned within 24 months of employment, prorated for part-time staff. Ability to effectively communicate with and gain cooperation of resident and attending physicians with regards to documentation needs and to effectively influence all members of the interdisciplinary care team during difficult cases to achieve appropriate resolutions. Must have effective written communication. The ability to interpret medical data as documented. Utilization of level of care management, quality management, discharge planning, basic knowledgeof third party payer or case management knowledge preferred. Knowledge and training in multiple computer systems required to perform position responsibilities (i.e. EMR, Microsoft Office, etc.) Participation in weekend and holiday coverage rotation. Flexibility to cover as needed.
WIH Internal Posting Period: 7/29/26-8/7/26
About Us
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra,
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