As an RN Case Manager with Mercy, you will coordinate patient care across Watonga, Kingfisher, and Guthrie, ensuring safe, efficient transitions through the continuum. You'll complete comprehensive assessments, develop individualized care plans, and collaborate with physicians, therapists, social workers, and community partners to optimize outcomes and reduce readmissions. Responsibilities include patient and family education, resource referral, utilization review, and thorough documentation in the EMR. In Mercy's collaborative, mission-driven culture, you'll engage in ongoing learning, contribute to quality initiatives, and support compassionate, patient-centered care. Responsibilities Perform comprehensive nursing and psychosocial assessments for assigned patients Develop and update individualized care plans focused on safe, effective transitions of care Coordinate services with physicians, therapists, social workers, and community resources Conduct utilization review to support appropriate level of care and reduce avoidable readmissions Educate patients and families on conditions, treatment plans, and available resources Arrange post-acute services, including home health, rehab, equipment, and follow-up appointments Document all assessments, interventions, and outcomes accurately in the EMRParticipate in quality improvement and population health initiatives within Mercy Collaborate across Watonga, Kingfisher, and Guthrie sites to ensure continuity of care Maintain compliance with regulatory, payer, and Mercy policies and standards of care Required Skills Patient assessment Care planning Case management Care coordination Electronic Medical Records (EMR) Utilization review Discharge planning Interdisciplinary collaboration Patient and family education Regulatory compliance documentation