An RN Case Manager coordinates the overall interdisciplinary "plan of care" for a patient, from admission to discharge. They are involved in a variety of skilled nursing duties including assessment, planning, implementation, and evaluation of nursing and adjunct health care services, provided to the patient. Must act as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively.
Hospitals, retirement facilities, hospice care, government agencies, and insurance companies all utilize case management nurses.
Case managers often work in pediatrics, gerontology, mental health, public health, and surgical services.
Duties may include, but are not limited to:
- Conducting intake assessments with patients and families
- Evaluate and determine needs of patients
- Collaborating with members of healthcare teams to discuss patients' progress, and to deliberate on appropriate care
- Review results from medical tests
- Update and revise patient health care plans
- Accurately document and submit medical records
- Determine insurance eligibility for various treatments and treatment programs
- Educate patients on benefits, services and other resources, including payment options
- Clearly explain the reason for prescribed treatments and treatment plans to patients
- Suggesting and coordinating appropriate follow-up services to promote wellness
- Communicate with patients, physicians and insurance companies to secure successful outcomes
- Provide emotional support to patients and families
- 1+ years of recent work experience as an RN Case Manager
- Active/Unencumbered State Nursing license
- Certification in Case Management may be required per facility/job
- Current BLS
- Current TB Screen
- Valid Photo Identification/Driver's License
- Successful completion of a Background Check and Medely's screening process