Registered Nurse Care Manager - Case Management (Onsite)

McLaren Health Care•Pontiac, MI

4h•Onsite

About The Position

The Registered Nurse Care Manager is accountable for proactively coordinating care and ensuring timely transitions of assigned patients to the most appropriate level of care along the continuum. The role affects key outcomes, including length of stay, efficient resource utilization, prevention of readmissions, and avoidance of unnecessary emergency department visits. The care manager works collaboratively with physicians, nursing staff, multidisciplinary team members—including Home Care and primary care provider offices—and other internal and external resources.

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, along with assessments for readmission and transition planning.
Work collaboratively with social workers 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, identify barriers, and formulate discharge plans.
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 serving as 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.