Care Manager RN

Community Health Systems • Longview, TX

5d

About The Position

The Care Manager - RN coordinates and oversees discharge planning, transitions of care, and case management activities to support optimal patient outcomes. The role collaborates with interdisciplinary teams, reviews medical records for appropriateness and medical necessity, and maintains compliance with federal, state, and accreditation standards. The Care Manager also coordinates post-hospital placements and social services, supports patients and families in understanding care options, and helps facilitate seamless transitions after discharge.

Requirements

• Associate Degree in Nursing.
• Two to four years of clinical nursing experience in a hospital, home health, or nursing home setting.
• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills for collaborating with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.
• RN state licensure in the state of employment or Compact State licensure.
• Applicants must be authorized to work in the U.S. for any employer; the position is not eligible for immigration sponsorship.

Nice To Haves

• Bachelor's Degree in Nursing.
• Two to four years of care management experience.
• Accredited Case Manager (ACM) certification.
• Certified Case Manager (CCM) certification.
• Basic Life Support (BLS) certification.

Responsibilities

• Review medical records daily to assess the appropriateness of admission, continued hospital stay, and use of diagnostic services.
• Collaborate with interdisciplinary teams to coordinate patient care, identify avoidable days, and resolve care-transition issues.
• Develop and implement discharge plans, coordinating post-hospital placement and social services to meet patient needs.
• Refer cases to physicians or managers when patients do not meet established criteria, supporting timely and appropriate interventions.
• Serve as a liaison with community agencies and facilitate transitions for discharged patients.
• Facilitate interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintain accurate, timely documentation of case management activities, referrals, patient interactions, and required reporting.
• Assist patients, families, and physicians with discharge planning and post-hospital care options.
• Perform other duties as assigned.
• Maintain regular and reliable attendance.
• Comply with all policies and standards.

Benefits

• Competitive compensation.
• Student Loan Repayment Program.
• Paid time off for vacations, holidays, and illness.
• Health insurance, including medical, dental, vision, and prescription drug coverage.
• 401(k) retirement plan.
• Life and disability insurance.
• Flexible spending accounts.
• Opportunities for career advancement.
• Employee recognition programs.
• Education assistance.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree