RN Case Manager - Weekends

Carilion Clinic•Roanoke, VA

4d•Onsite

About The Position

The RN Case Manager provides case management for assigned patient populations, using clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes. The role supports cost-effective, coordinated care by reducing fragmentation and facilitating patient and family movement through the healthcare organization and across the continuum of care. The position assesses patient needs upon admission and at regular intervals to support care planning, discharge planning, and transitions. It coordinates safe transitions, including referrals for home health, hospice, durable medical equipment, medications, and other post-acute services. The RN Case Manager collaborates with physicians, nursing, social work, utilization review, and other care team members to align care and discharge plans, ensure appropriate resource use and length-of-stay management, and meet regulatory and payer requirements. The role also supports accurate patient-status and medical-necessity determinations, communicates discharge plans and financial implications to patients and families, identifies barriers to discharge, and helps prevent delays. The RN Case Manager maintains accurate documentation, participates in interdisciplinary meetings, coordinates patient transfers, and advocates for patients and families throughout care. The position also contributes to performance improvement, uses predictive analytics tools, and collects and analyzes care and utilization data to support quality, fiscal outcomes, and reduced readmissions.

Requirements

Associate Degree in Nursing or diploma from an accredited nursing program.
Three years of recent experience in a clinical healthcare setting, with responsibilities reflecting direct management of patient care, including planning, coordination, and delivery of services such as education, psychosocial support, discharge planning, and utilization management.
Current Registered Nurse licensure in Virginia.
AHA BLS-HCP certification required within six months of hire.
Effective interpersonal, oral, and written communication skills.
Demonstrated integrity, innovation, diplomacy, assertiveness, flexibility, and perseverance.
Ability to work collaboratively as an integral member of a multidisciplinary team.
Strong customer service orientation and ability to resolve complaints and problems effectively.
Effective negotiation and relationship-building skills.
Computer literacy.

Responsibilities

Perform patient needs assessments upon admission and at regular intervals.
Support care planning, discharge planning, and transitions across the continuum of care.
Coordinate safe transitions of care, including home health, hospice, durable medical equipment, medications, and other post-acute services.
Promote interdisciplinary collaboration to align the plan of care and discharge plan.
Support appropriate utilization of resources, length-of-stay management, and compliance with regulatory and payer requirements.
Collaborate with Utilization Review to ensure accurate patient status and medical necessity, using tools such as InterQual.
Help patients and families understand discharge plans, including financial implications and available resources.
Ensure documentation accurately reflects patient condition, comorbidities, treatment, and interventions.
Coordinate referrals and authorizations for medications, services, and post-acute care needs.
Coordinate communication and care for patient transfers, including acute-to-acute transitions and transitions involving correctional facilities.
Identify barriers to discharge and implement appropriate interventions.
Participate in interdisciplinary team meetings and contribute to care progression and discharge planning.
Maintain communication with all disciplines to support timely and appropriate care transitions.
Engage in performance improvement initiatives and use predictive analytics tools to support patient outcomes and reduce readmissions.
Collect and analyze patient care and utilization data to support quality and fiscal outcomes.
Advocate for patients and families throughout the episode of care.