Registered Nurse (RN) Care Manager

Advocate Health and Hospitals Corporation•Port Washington, WA

4d•Onsite

About The Position

Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

Requirements

Registered Nurse License issued by the state in which the Team Member practices.
Bachelor’s Degree in Nursing
2 years of clinical nursing experience

Responsibilities

Conduct comprehensive assessments and create timely care plans & interventions
Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
Provide continuity of care and discharge planning aligned with regulatory standards
Coordinate smooth transfers and handoffs across units and settings
Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
Perform concurrent/retrospective reviews using approved criteria
Partner closely with Social Work and support staff to implement safe, effective plans of care
Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes
Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
Provide age-appropriate care per departmental standards