Position Summary
The RN Case Manager supports physicians and the interdisciplinary team in coordinating patient care with the goal of improving clinical outcomes, patient satisfaction, and cost efficiency. This role integrates utilization management, patient education, care facilitation, and discharge planning.
Key Responsibilities
- Facilitate precertification and payor authorization
- Coordinate collaborative patient care across the continuum
- Apply process improvement methodologies to evaluate care outcomes
- Support clinical documentation and serve as a resource for coders
- Communicate effectively with physicians
- Provide age-appropriate care and understand life cycle principles
Required Skills & Experience
Strong interpersonal, communication, and negotiation skillsAnalytical and data management capabilitiesProficient in PC and organizational / time managementAbility to work independently and exercise sound judgmentPreferred Qualifications
Minimum of 3 years RN clinical experienceKnowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursementEducation & Licensure
Required : Bachelor of Science in Nursing (BSN)Required : Active RN license in the State of MichiganCertifications : BLS (American Heart Association)Additional Requirements
Minimum 5 years of acute inpatient case management experienceExperience in acute discharge planningFamiliarity with CarePort systemPreferred experience with AllScripts, GEMS / SunriseMust be comfortable working directly with patients and acclimating quicklyBy providing your phone number, you consent to : (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing / promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.