RN Case Manager - Weekends

Carilion Clinic•Roanoke, VA

22h•$76,690 - $115,045•Onsite

About The Position

The RN Case Manager provides care management for assigned patient populations, using clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes. The role promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient and family movement through the healthcare organization. The RN Case Manager assesses patient needs upon admission and at regular intervals to support care planning, discharge planning, and transitions across the continuum of care. The role coordinates interdisciplinary care, post-acute services, referrals, authorizations, patient transfers, and discharge needs while addressing barriers and supporting patient and family understanding of care plans and available resources. The position also supports appropriate resource utilization, regulatory and payer compliance, documentation, performance improvement, and quality and fiscal outcomes.

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

Provide care management for assigned patient populations to achieve optimal clinical and resource outcomes.
Assess patient needs upon admission and at regular intervals to support care planning, discharge planning, and transitions of care.
Coordinate safe and effective transitions of care, including home health, hospice, and durable medical equipment services.
Promote interdisciplinary collaboration with physicians, nursing, social work, utilization review, and other care team members.
Support appropriate resource utilization, 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.
Coordinate with patients and families to support understanding of discharge plans, financial implications, and available resources.
Ensure documentation accurately reflects patient condition, comorbidities, treatment, and interventions in accordance with regulatory and organizational standards.
Coordinate referrals and authorizations for medications, services, and post-acute care needs to prevent discharge delays.
Facilitate communication and coordination 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 discussions.
Maintain effective communication across disciplines to support timely and appropriate patient 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.