Case Manager RN

St. Mary's Medical Center•Blue Springs, MO

19d•Onsite

About The Position

The RN Case Manager is a pivotal member of the healthcare team, combining clinical expertise and patient advocacy to enhance health outcomes. This RN role involves assessing, planning, coordinating, and implementing healthcare strategies to ensure efficient, high-quality patient care. By managing healthcare resources and facilitating communication among multidisciplinary teams, the RN Case Manager works to achieve optimal patient outcomes and satisfaction.

Requirements

Starting April 1 2015. Minimum 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
Grandfathered prior to April 1, 2015. Minimum 5 years postgraduate of an accredited school of social work for licensed clinical social workers. However, an RN case manager is preferred.
Five years of acute care nursing experience preferred. At least one year of experience in case management, discharge planning, or nursing management is preferred.
Current BCLS (AHA) certificate, preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.
Experience and knowledge in basic to intermediate computer skills.

Nice To Haves

Five years of acute care nursing experience preferred.
At least one year of experience in case management, discharge planning, or nursing management is preferred.
Current BCLS (AHA) certificate, preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

Develop individualized care plans in collaboration with patients, families, and healthcare teams to optimize health outcomes.
Coordinate transitions of care between acute, post-acute, and community settings to ensure continuity of care.
Monitor patient progress and modify care plans as needed in response to changing health needs.
Advocate for patient needs and preferences within the healthcare system.
Collaborate with physicians, nurses, social workers, and other healthcare professionals to facilitate a team approach to patient care.
Maintain accurate and detailed patient records, ensuring compliance with regulatory standards and healthcare policies.
Stay current with industry trends, new procedures, and case management best practices through ongoing education and training.