Care Manager 1 - Registered Nurse

Primary Duties and Responsibilities

The Care Manager I (RN) in Utilization Review coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care.

Reviews clinician assessments and patients’ financial, family and psychosocial support to develop comprehensive care and/or discharge plans. May focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support.

May review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. May provide psychodynamic intervention and crisis counseling to support patients and families. Educates patients and families on their healthcare options and connects them with resources.

Documents pertinent patient issues, contacts and plans on the medical records. Is a mandated reporter for elder, child, and spousal abuse. The Community Care role specifically provides Care Management support to high-risk, homeless and mental health population.  The ED Care Manager role also provides care managment support / collaboration when consulted for geriatric patients 65+ to address the unique needs of older adults, which may include physical, emotional, financial, and social well-being. 

Performs other duties as assigned.

Education and Experience

Fulfills mandatory stroke education requirements per certification agency

Positions requirements depend on licensure and are as follows:

• Care Manager (RN) – Bachelor’s degree in Nursing (BSN) required. Care Manager (RN)s at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program. One year of experience in an acute health care setting preferred.

License Required

• Registered Nurse (RN) license - for Care Manager I (RN) position

Pay Range: $50.37 - $77.84/hr