Registered Nurse (RN) Case Manager

The University of Texas at Austin•Austin, TX

13d•Onsite

About The Position

The Case Manager Registered Nurse (RN) is a clinically experienced registered nurse responsible for coordinating comprehensive care for patients with complex and chronic medical conditions. The role promotes continuity of care across care transitions and intraclinic services through comprehensive assessment, advanced clinical judgment, and the development of individualized plans of care. The Case Manager RN engages and supports patients through education to promote informed decision-making, self-care, and improved health outcomes, while enhancing the quality of patient care management and satisfaction. In collaboration with interdisciplinary teams, patients, and families, the role supports care coordination, patient advocacy, and discharge planning to ensure safe, timely, and effective transitions of care. The Case Manager RN contributes to the delivery of high-quality, cost-effective care across the continuum of care.

Requirements

Bachelor's Degree in Nursing (BSN) from an accredited program
At least 3 year(s) of experience in relevant nursing experience in an outpatient, clinical, or hospital setting supporting patients with complex or chronic care needs.
Demonstrated knowledge of care and case management, along with efficient resource and utilization management.
Familiarity with Medicare/Medicaid and managed care principles.
Current, unrestricted Registered Nurse (RN) licensure in the state of Texas.
Basic Life Support (BLS) certification within 6 months of hire.

Nice To Haves

Master's Degree in Nursing (MSN) from an accredited program
At least 5 year(s) of experience in ambulatory or hospital setting in case management and/or care coordination.
Bilingual in English and Spanish.
Certification in Case Management (CCM, ACM-RN, or RN-BC) preferred.

Responsibilities

Conducts comprehensive initial and ongoing assessments of patients’ medical, psychosocial, functional, and environmental needs.
Develops, implements, and routinely updates individualized plans of care that address clinical interventions, treatment goals, and self-management strategies.
Applies advanced clinical judgment and critical thinking to identify appropriate interventions, services, and community resources aligned with patient care goals.
Serves as a primary liaison among physicians, social workers, therapists, and other healthcare professionals to support effective communication and coordinated care delivery.
Coordinates discharge planning and transitional care in collaboration with interdisciplinary teams to ensure safe, timely, and effective transitions across care settings.
Facilitates timely follow-up care and resource coordination to support continuity of care and reduce preventable readmissions.
Coordinates and facilitates access to community-based resources that address social determinants of health, including housing, food insecurity, transportation, financial barriers, and behavioral health services.
Provides education to patients and families regarding diagnoses, treatment plans, and available resources.
Engages patients and families in shared decision‑making and self‑management education to support individualized care planning.
Advocates for patients’ needs and preferences throughout the care continuum.
Maintains accurate, timely, and comprehensive documentation in the electronic medical record in accordance with departmental, organizational, and regulatory standards.
Ensures compliance with federal, state, and local regulations and applicable accreditation and regulatory requirements.
Participates in interdisciplinary rounds, care team meetings, case conferences, and organizational initiatives.
Engages in ongoing professional development to maintain licensure and competency in evidence-based practices.
Contributes to quality improvement and quality assurance initiatives related to patient outcomes, utilization management, and case management practices.