SSM Health seeks a compassionate Nurse Case Manager to coordinate care for patients across the continuum in alignment with our Catholic, not-for-profit mission. In this role, you will complete comprehensive assessments, develop individualized care plans, and collaborate closely with physicians, interdisciplinary teams, and community partners. You will support safe transitions of care, reduce readmissions, and close care gaps while educating patients and families. We offer competitive pay, robust benefits, and strong opportunities for professional growth in a supportive, mission-driven culture. Responsibilities Coordinate and manage patient care plans for diverse populations across the care continuum Conduct comprehensive assessments, develop individualized care plans, and monitor patient progress Collaborate with physicians, interdisciplinary teams, and community resources to optimize outcomes Educate patients and families on conditions, medications, and self-care strategies Facilitate smooth transitions of care, including discharge planning and follow-up arrangements Advocate for patients, ensuring services align with SSM Health's mission of compassionate, dignified care Document assessments, interventions, and outcomes accurately in the electronic health record Identify care gaps, address barriers to care, and support quality and cost-effective services Participate in performance improvement initiatives and case review meetings Maintain compliance with regulatory, ethical, and organizational standards Required Skills Care planning and coordination Clinical assessment Utilization management Electronic Health Records (EHR) documentation Discharge planning Patient and family education Interdisciplinary team collaboration Chronic disease management Quality and outcomes improvement Regulatory and compliance knowledge