RN Case Manager coordinates patient care across assigned facilities to ensure safe, efficient transitions throughout the care continuum.
Key responsibilities include:
- Conduct comprehensive patient assessments and develop individualized care plans.
- Collaborate with physicians, therapists, social workers, and community partners to optimize outcomes and reduce readmissions.
- Provide patient and family education to support informed care decisions.
- Make appropriate referrals to community resources and support services.
- Perform utilization review to support appropriate, effective care delivery.
- Maintain thorough, accurate documentation in the electronic medical record (EMR).
- Participate in ongoing learning and contribute to quality improvement initiatives.
Qualifications/skills: Current RN licensure, strong assessment and care planning skills, effective interdisciplinary communication, sound judgment, meticulous EMR documentation, and a commitment to compassionate, patient-centered care.