Registered Nurse (RN) Case Manager

Conifer Health Solutions • Memphis, TN

12d

About The Position

The RN Case Manager facilitates care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with 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 for assessing transition needs to promote timely throughput, safe discharge, and prevention of avoidable readmissions.

Requirements

• Graduate of an accredited school of nursing.
• Two years of acute hospital patient care experience.
• Currently licensed, certified, or registered to practice the profession as required by law or regulation in the state of practice or by policy.
• Active RN license for the state(s) covered.

Nice To Haves

• Academic degree in nursing (bachelor’s or master’s).
• Acute hospital case management experience.
• Accredited Case Manager (ACM) certification.

Responsibilities

• Perform accurate medical necessity screening and submit cases for Physician Advisor review.
• Conduct care coordination and transition-planning assessments and reassessments.
• Implement or oversee implementation of the transition plan.
• Lead and facilitate multidisciplinary patient care conferences and manage concurrent disputes.
• Identify complex patients and refer them to Social Work Services.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed