What are the responsibilities and job description for the Care Manager RN position at Mat-Su Regional Medical Center?
Job Summary
The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.
Essential Functions
Mat-Su Regional Medical Center has twice been named one of the Top 150 Places to Work in Healthcare by Becker’s Hospital Review and in 2019 received the Alaska State Hospital and Nursing Home Association's patient safety award, “High Reliability: Persevering in the Pursuit of Zero Patient Harm.” Mat-Su Regional Medical Center is your community healthcare provider, a 125-bed facility with a wide range of inpatient and outpatient care, diagnostic imaging and emergency, medical and surgical services. Mat-Su Regional Medical Center also offers a sleep lab, cardiac catheterization lab, advanced wound care, inpatient behavioral health services, three off-site urgent care facilities, robotic surgery and advanced total hip replacement procedures.
From the majestic Pioneer and Twin Peaks in the Chugach Range to the Talkeetna Mountains in Southcentral Alaska, Palmer is framed in breathtaking beauty. Located 42 miles northeast of Anchorage on the Glenn Highway in the Matanuska Valley, the city's unique history and heritage are unparalleled in the state.
The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.
Essential Functions
- Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
- Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
- Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
- Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
- Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
- Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
- Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
- Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- Associate Degree in Nursing required
- Bachelor's Degree in Nursing preferred
- 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
- 2-4 years of care management experience preferred
- Strong understanding of case management principles, discharge planning, and transitions of care.
- Knowledge of federal, state, and Joint Commission standards related to case management.
- Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
- Ability to assess complex situations, identify solutions, and implement care plans efficiently.
- Proficiency in electronic medical records (EMR) and documentation systems.
- Strong organizational and time management skills to prioritize tasks in a dynamic environment.
- RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required
- Accredited Case Manager (ACM) preferred
- CCM - Certified Case Manager preferred
- BLS - Basic Life Support preferred
Mat-Su Regional Medical Center has twice been named one of the Top 150 Places to Work in Healthcare by Becker’s Hospital Review and in 2019 received the Alaska State Hospital and Nursing Home Association's patient safety award, “High Reliability: Persevering in the Pursuit of Zero Patient Harm.” Mat-Su Regional Medical Center is your community healthcare provider, a 125-bed facility with a wide range of inpatient and outpatient care, diagnostic imaging and emergency, medical and surgical services. Mat-Su Regional Medical Center also offers a sleep lab, cardiac catheterization lab, advanced wound care, inpatient behavioral health services, three off-site urgent care facilities, robotic surgery and advanced total hip replacement procedures.
From the majestic Pioneer and Twin Peaks in the Chugach Range to the Talkeetna Mountains in Southcentral Alaska, Palmer is framed in breathtaking beauty. Located 42 miles northeast of Anchorage on the Glenn Highway in the Matanuska Valley, the city's unique history and heritage are unparalleled in the state.