What are the responsibilities and job description for the Registered Nurse - Care Manager position at Merit Health?
Why Merit Health?
Choosing a career is about more than finding a job, it's about joining a team where you are respected, valued, and supported. At Merit Health, your work has a meaningful impact, your contributions are recognized, and your professional growth is encouraged.
Benefits
Our team members are dedicated to providing exceptional patient care and making a difference in the communities we serve. In return, we offer a supportive work environment, opportunities for career advancement, and a competitive benefits package that may include:
Across our Merit Health facilities, we are committed to creating a culture where employees can thrive while delivering quality care close to home. Whether you're just starting your career or bringing years of experience, you'll find opportunities to grow, make an impact, and be part of a team that values compassion, collaboration, and excellence.
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
Choosing a career is about more than finding a job, it's about joining a team where you are respected, valued, and supported. At Merit Health, your work has a meaningful impact, your contributions are recognized, and your professional growth is encouraged.
Benefits
Our team members are dedicated to providing exceptional patient care and making a difference in the communities we serve. In return, we offer a supportive work environment, opportunities for career advancement, and a competitive benefits package that may include:
- Competitive compensation
- Paid time off for vacation, holidays, and illness
- Comprehensive health insurance (medical, dental, vision, and prescription coverage)
- 401(k) retirement plan
- Education assistance and student loan support
- Life and disability insurance
- Flexible spending accounts
- Opportunities for professional development and career growth
Across our Merit Health facilities, we are committed to creating a culture where employees can thrive while delivering quality care close to home. Whether you're just starting your career or bringing years of experience, you'll find opportunities to grow, make an impact, and be part of a team that values compassion, collaboration, and excellence.
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
- 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