RN Case Manager - Weekdays

Overview

The RN Case Manager works weekdays (8:00am–4:30pm) to provide case management for assigned patient populations, ensuring effective communication, coordination, and discharge planning while maximizing resource efficiency and patient outcomes.

Responsibilities

• Perform patient needs assessments upon admission and at regular intervals, facilitating referrals and providing linkages to health, wellness, and post‑acute care resources across the continuum.

• Promote interdisciplinary collaboration and teamwork to advance care plans and discharge plans, manage length of stay, and facilitate smooth transitions to the next level of care.

• Comply with all federal and state regulations surrounding discharge processes and maintain documentation that accurately reflects the patient’s condition, treatment, and admission status for DRG assignment.

• Utilize InterQual and predictive analytic software to support accurate patient status and resource planning.

• Coordinate referrals for post‑acute services (home health, hospice, durable medical equipment), prior authorizations, and medication assistance, ensuring financial implications are understood by patients/families.

• Maintain effective communication with all disciplines, including Social Work, Utilization Review nurses, and outside nursing or case management staff, to promote timely and appropriate discharges.

• Advocate for the patient and family throughout the entire episode of care and participate in departmental and system performance improvement initiatives, analyzing impact on quality and fiscal outcomes.