Complex Care Case Manager

Trinity Health•Mason City, IA

About The Position

The Nurse Senior – Complex Care Specialist is responsible for focused ownership and coordination of acutely hospitalized patients with highly complex medical, psychosocial, behavioral, and system-driven needs. Embedded within the Acute Care Management team, the role provides sustained attention, advanced care coordination, and accountability for complex inpatient populations. The specialist partners with care teams and leadership to remove barriers to progression, support timely discharge planning, and improve patient outcomes. The role does not assume ownership of outpatient settings or teams, but is accountable for intentional coordination, connection, and effective handoff to appropriate outpatient, post-acute, and population-based resources as part of transitions of care. The position adheres to MercyOne’s performance expectations and upholds its Mission, Vision, and Values.

Requirements

  • Bachelor’s degree in Nursing or a related field.
  • Three years of experience working with complex, high-risk patient populations in an acute or inpatient setting.
  • Current Iowa RN license; for MercyOne Genesis, a current RN license in either Iowa or Illinois is required at hire, and a secondary license for the other state must be obtained within 12 months of hire.
  • Experience leading complex cases, care planning discussions, or interdisciplinary efforts without formal supervisory authority.
  • Demonstrated success coordinating care for hospitalized patients with significant medical, psychosocial, behavioral, and system complexity.
  • Comfort operating in a collaborative, shared leadership environment.
  • Personal presence characterized by honesty, integrity, and caring, with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health and MercyOne.

Nice To Haves

  • Master’s degree in a related field.

Responsibilities

  • Lead interdisciplinary complex care conferences to align patients, families, and care teams on goals, risks, barriers, and the inpatient care plan.
  • Support patient-centered care planning by identifying, documenting, and supporting patient-defined goals, values, and informed decision-making, including high-risk or non-traditional pathways.
  • Drive accountability for clear next steps, assigned responsibilities, and realistic timelines, partnering with providers and leadership to develop the safest possible plan of care and discharge.
  • Coordinate complex inpatient care through discharge, ensuring timely connection, clear communication, and effective handoff to outpatient, post-acute, and population-based resources.
  • Apply advanced knowledge of workflows, payer and regulatory requirements, and community resources to identify system-level barriers; partner with leadership and external stakeholders to resolve delays and support efficient progression of care.
  • Maintain advanced knowledge of internal workflows, payer requirements, regulatory expectations, and community resources affecting complex acute care patients.
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