A Nurse Case Manager applies nursing expertise to coordinate a patient's medical care and provides advocacy to help them get the best and most affordable care. Develop care plans including discharge planning, coordinate delivery among providers, and teach patients and families how to follow the plan. They may also help patients navigate insurance and other healthcare bureaucracies and access related social services. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment.
Overview Join our dynamic healthcare team as a Registered Nurse/Case Manager, where your expertise will drive exceptional patient outcomes through comprehensive care coordination. In this vital role, you will leverage your critical care, hospital medicine, and outpatient experience to assess patient needs, develop personalized care plans, and facilitate seamless transitions across care settings. Your dedication to patient service and utilization management will ensure efficient resource use while maintaining the highest standards of clinical excellence. Be part of a passionate team committed to improving lives through compassionate, expert nursing care. Duties Conduct thorough patient assessments, including physical needs, physiological evaluations, and medical history reviews, to determine individual care needs. Collaborating with multidisciplinary teams across hospital, clinic, and post-acute settings. Develop and implement personalized plan of cares that incorporate post-acute care needs and community resources. Manage utilization review processes by evaluating diagnostic evaluations, medical records, and treatment plans to optimize patient outcomes and resource use. Facilitate intake procedures for new patients, ensuring compliance with HIPAA regulations and accurate documentation in medical records for state compliance. Provide case management support for diverse populations including pediatrics, geriatrics, behavioral health patients, and those with infectious diseases or trauma-related conditions. Engage in patient education initiatives focused on medical terminology comprehension, medication adherence, and self-care strategies to promote recovery and well-being. Strong knowledge of physiology, diagnostic evaluation processes, and inpatient versus outpatient workflows supports effective case management. Familiarity with managed care principles, utilization management protocols, and healthcare regulations such as HIPAA ensures compliance and quality assurance. Excellent patient service skills combined with a thorough understanding of medical terminology and nursing practices are critical for success in this role. Join us to make a meaningful difference by providing compassionate nursing leadership that enhances patient experiences across the continuum of care!
Pay:
$25.00 - $30.00 per hour
Benefits:
401(k) Dental insurance Flexible schedule Health insurance License reimbursement Life insurance Mileage reimbursement Paid time off Vision insurance
