The RN Case Manager facilitates care across the continuum through effective resource coordination, helping patients achieve optimal health, access to care, and appropriate resource utilization while considering the patient’s resources and right to self-determination. The role is responsible for ensuring care is provided at the appropriate level based on medical necessity and assessing transition needs to support timely throughput, safe discharge, and prevention of avoidable readmissions. The position integrates national case management standards through utilization management, transition management, care coordination, compliance with state and federal requirements and accreditation standards, and education for physicians, patients, families, and caregivers.
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Career Level
Mid Level
Education Level
Associate degree