RN-Case Manager - Lead - Coordinated Care

University of Mississippi Medical Center • Jackson, MS

14h • Onsite

About The Position

Creates accountability for designated patient groups and staff teams by providing oversight and clinical guidance to RN Case Manager positions and supporting social work staff with clinical discharge planning as needed. Serves as an RN nurse mentor, precepts new team members, and functions as a team lead. Practices within a patient-centered nursing model. Manages length of stay (LOS) targets and promotes efficient resource utilization through the prevention of avoidable days and unplanned readmissions.

Requirements

• Two (2) years of nursing experience in an inpatient setting.
• Valid RN license.
• Accredited Case Manager from the American Case Management Association or Certified Case Manager from Certified Case Management Commission required post-hire within 24 months.
• Demonstrates strong interpersonal, communication, and leadership skills.
• Possesses knowledge of discharge planning, utilization and case management, and care coordination across pre-acute, acute, and post-acute settings.
• Promotes the “right care, right time, right place” model through sound clinical judgment and independent decision-making.
• Maintains high emotional intelligence in a fast-paced, high-stress environment.
• Successfully performs all RN Case Manager responsibilities, provides staff education, supports implementation of case management and nursing models, and is recognized by peers as a departmental leader.

Responsibilities

• Oversees the management of assigned patient populations across the continuum and serves as a resource to the multidisciplinary team to ensure appropriate, safe, and timely transitions of care.
• Collaborates with departmental, physician, and nursing leadership to implement clinical pathways and address system barriers that impede diagnostic or treatment progress.
• Drives patient satisfaction and ensures all patients receive timely, appropriate, and safe discharge planning, coordinating seamless discharges and reducing excess days.
• Serves as a primary information resource for case management staff, payors, physicians, healthcare team members, and regulatory bodies, ensuring compliance with utilization review requirements, CMS Conditions of Participation, and external regulations.
• Proactively mitigates patient safety risks and discharge planning failures through the nursing process, critical thinking, and innovative approaches, seeking consultation as needed to expedite care.
• Completes utilization management, quality screening, and documentation activities accurately and timely, and ensures all discharge plan elements are communicated to patients, families, and the healthcare team.
• Identifies at-risk populations, implements interventions and reporting processes, and supports continuous improvement initiatives.
• Educates staff on case management responsibilities, accepts accountability for team outcomes, promotes staff satisfaction through team building, and collaborates with social workers using a dyad model.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

What This Job Offers

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