Care Manager RN Full Time

Community Health Systems Professional Services Corporation•Tucson, AZ

1d•Onsite

About The Position

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards. Coordinates services through an interdisciplinary process which provides a clinical and psychosocial approach through the continuum of care and is assigned to a department or departments. Assists in development, planning, coordination and administration of the activities of clinical review, discharge planning, resource utilization and utilization review. Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively.

Requirements

2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Nice To Haves

Bachelor's Degree in Nursing preferred
2-4 years of care management experience preferred
BCLS - Basic Life Support preferred
prior case management experience preferred

Responsibilities

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.