Registered Nurse Care Manager

McLaren Health Care•Petoskey, MI

About The Position

The Registered Nurse Care Manager proactively coordinates care and timely transitions for assigned patients to the most appropriate level of care across the care continuum. The role contributes to length-of-stay performance, efficient resource utilization, and prevention of readmissions and unnecessary emergency room visits. It works collaboratively with physicians, nursing staff, multidisciplinary team members—including Home Care and PCP offices—and internal and external resources. Daily work times and shifts are variable, with 40 scheduled hours per bi-weekly pay period.

Requirements

State licensure as a Registered Nurse (RN).
Bachelor’s degree in nursing from an accredited educational institution, or active pursuit of the degree with completion within five years of accepting the position.
Three years of acute hospital care experience.

Nice To Haves

Experience in utilization management or case management, critical care, or patient outcomes/quality management.
Case Management certification (ACM or CCM).
Basic Life Support (BLS) certification as a Healthcare Provider through the American Heart Association, American Red Cross, or equivalent through the Military Training Network (MTN).

Responsibilities

Complete initial care coordination assessments within 24 hours of admission and conduct assessments for readmission and transition planning.
Collaborate with the social worker and other disciplines to support a safe, appropriate, and timely transition to the next level of care, considering the patient’s available resources.
Assess patient and family needs, reduce barriers, and formulate discharge plans, including addressing length-of-stay barriers to discharge.
Identify unsigned level-of-care orders, communicate with the utilization management nurse, and obtain orders from providers.
Review current DRG and length-of-stay information in Cerner to assess discharge planning needs with providers and identify the family member who is the point of contact.
Assess readmission risk for specified patient populations and initiate assigned interventions to support successful transitions across the care continuum.
Coordinate discharge planning and referrals to social services, ancillary departments, outpatient case management, durable medical equipment, post-acute placement, and other outside agencies in accordance with standard operating procedures.