Case Manager-St. Helena-CA--Pay Negotiable

Registered Nurse (RN) – Case Manager Job Summary The Registered Nurse (RN) – Case Manager coordinates patient care across the continuum to promote quality outcomes, appropriate resource utilization, and timely discharge planning. The RN collaborates with physicians, patients, families, and the interdisciplinary healthcare team to develop individualized care plans, facilitate transitions of care, and ensure compliance with regulatory and payer requirements.

Requirements

• Associate Degree in Nursing (ASN) required; Bachelor of Science in Nursing (BSN) preferred.
• Current Registered Nurse (RN) license in the state of practice.
• Current BLS certification preferred or required per facility policy.
• Case Management (CCM or ACM) certification preferred.
• Recent case management, utilization review, discharge planning, or acute care nursing experience preferred.

Responsibilities

• Assess patient needs and develop individualized case management and discharge plans.
• Coordinate care with physicians, nurses, social workers, therapists, and community resources.
• Facilitate appropriate utilization of healthcare services and ensure timely transitions of care.
• Monitor patient progress and revise care plans as needed.
• Educate patients and families regarding treatment plans, discharge instructions, and available resources.
• Maintain accurate clinical documentation and ensure compliance with regulatory and payer requirements.
• Advocate for patients to promote quality, cost-effective, and patient-centered care.
• Collaborate with the interdisciplinary healthcare team to improve patient outcomes.
• Follow HIPAA, patient safety, and organizational policies.
• Perform other duties as assigned.