RN Case Manager - FT - Days - MMA

Memorial Healthcare•Douglas, AZ

About The Position

At Memorial, the commitment to improving health, well-being, and quality of life is the foundation of The Memorial Experience. The RN Case Manager monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance. This role helps ensure patient care services balance quality with efficiency, cost containment, and regulatory requirements. The position requires critical thinking, decisive judgment, and the ability to work with minimal supervision in a stressful environment while taking appropriate action. The role is for an accredited Registered/Professional Nursing Program graduate or an individual with an MSW degree. Basic Life Support (BLS) Healthcare Provider certification is required upon hire.

Requirements

  • Graduation from an accredited Registered/Professional Nursing Program or an MSW degree.
  • Basic Life Support (BLS) Healthcare Provider certification required upon hire.
  • Required credentials include applicable Florida or compact Registered Nurse licensure, BLS certification from an accepted provider or grace-period status, and AHCA background screening.
  • Critical thinking skills and decisive judgment.
  • Ability to work with minimal supervision and take appropriate action in a stressful environment.

Responsibilities

  • Consult regularly with nursing staff and the multidisciplinary team to evaluate patient status and the appropriateness of medical care, including admission, length of stay, transfer, and discharge.
  • Monitor patient and family satisfaction and respond to questions and complaints from patients, family members, and payors regarding care.
  • Perform chart reviews as needed to identify actual or potential issues involving service delivery, patient outcomes and satisfaction, compliance, cost, or reimbursement.
  • Participate in discharge planning, including coordinating patient transfers to other facilities and coordinating community resources.
  • Provide discharge education and resource referrals to patients.
  • Collect and assess data as needed to identify quality trends or actual sources of risk to patients and employees.
  • Collaborate with the multidisciplinary team and committees regarding quality outcomes.
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