Case Manager Registered Nurse coordinates patient care across care settings to ensure safe, effective transitions and optimal outcomes.
Key Responsibilities
- Assess patients’ clinical and psychosocial needs.
- Develop, implement, and update individualized care plans.
- Coordinate care with physicians, hospitals, schools, and community providers.
- Advocate for patients and families to support patient-centered outcomes.
- Perform utilization review and support appropriate care decisions.
- Complete accurate documentation and care management records.
- Educate patients and families on care options and next steps.
- Ensure compliance with regulatory requirements and payer policies.
Qualifications & Skills
- Registered Nurse with strong clinical assessment and care coordination skills.
- Ability to collaborate across disciplines and coordinate transitions of care.
- Strong documentation, utilization review, and compliance awareness.
- Effective communication and patient/family advocacy skills.
- Commitment to quality care and serving diverse populations.