Care Manager RN

Community Health Systems•Enterprise, AL

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 works with patients, families, physicians, and community agencies to plan post-hospital care and facilitate transitions.

Requirements

Associate Degree in Nursing required.
2–4 years of clinical nursing experience in a hospital, home health, or nursing home setting required.
Registered Nurse (RN) state licensure in the state of employment or Compact state licensure required.
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 to collaborate 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.

Nice To Haves

Bachelor's Degree in Nursing preferred.
2–4 years of care management experience preferred.
Accredited Case Manager (ACM) preferred.
Certified Case Manager (CCM) preferred.
Basic Life Support (BLS) preferred.

Responsibilities

Conduct daily medical record reviews to assess the appropriateness of admission, continued hospital stay, and utilization 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, ensuring timely and appropriate interventions.
Serve as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
Facilitate interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
Maintain accurate and timely documentation of case management activities, including referrals, patient interactions, and compliance 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.