Registered Nurse - Case Manager

Trinity Health•Mishawaka, IN

12d

About The Position

The Registered Nurse - Case Manager is responsible for day-to-day decisions involving coordination of care, utilization management, and discharge planning. The role manages patient caseloads, coordinates plans of care and discharge, and is accountable for achieving customer and physician satisfaction. The Case Manager collaborates with departments and care teams to support quality and continuity of care, communicate effectively, and achieve appropriate patient outcomes. The position coordinates team meetings, monitors the effectiveness of care plans and resource use, applies intensity-of-service and severity-of-illness criteria to decisions about admissions and continued services, and arranges early and ongoing transitions and discharges. The role also requires maintaining current knowledge relevant to the patient population, adhering to applicable laws and regulations, and demonstrating the organization’s mission and core values.

Requirements

Knowledge of clinical practice and case management processes normally acquired through a Bachelor’s Degree in Nursing with additional case management training or certification.
Active RN license in Indiana.
Three to five years of clinical nursing experience.
Demonstrated leadership and management abilities.
Critical thinking skills.
Clear and effective verbal, written, and listening communication skills.
Competency in computer applications.

Nice To Haves

BSN preferred.
Certification in an area of case management preferred.
Critical Care experience highly desirable.
Ability to speak Spanish may be required.

Responsibilities

Demonstrate the organization’s mission and core values in professional conduct.
Adhere to laws and regulations concerning patient health, safety, and medical information.
Collaborate with other departments to provide quality and continuity of care for patients on the assigned caseload.
Provide leadership and effective communication to help achieve appropriate patient outcomes efficiently; negotiate with team members, including physicians, to resolve discrepancies in treatment plans.
Conduct team meetings and conferences about patient needs affecting cost, quality, and length of stay, and serve as a central point of communication.
Provide excellent customer service through cooperative, positive, and professional daily interactions and communication.
Use human, financial, and material resources effectively; identify variances promptly, make strategic adjustments, assess care-plan effectiveness, focus on outcomes, and recommend changes to support patient progress.
Ensure appropriate level of care and length of stay, using intensity-of-service and severity-of-illness criteria to guide admission and continued-service decisions.
Develop early and ongoing transition and discharge plans with patients, families, physicians, payors, and providers across the continuum of care, and proactively arrange transitions and discharges.
Maintain current knowledge related to the patient population and incorporate it into practice.
Perform other duties consistent with the purpose of the job as directed.