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Mercyhealth

Integrated health system delivering coordinated care

Registered Nurse Patient Navigator - Case Management

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeJanesville, WI, USA$38.80 - $60.14In-person

About the Job

Requirements

  • Graduate of an accredited nursing program.
  • A Bachelor of Science in Nursing (BSN), or an agreement to complete a BSN after hire through an accredited BSN Completion Program.
  • A current Registered Nurse license in the state of practice.
  • Basic Life Support (BLS) or CPR certification within 90 days.
  • May require specific years of applicable experience to qualify, according to department guidelines.
  • Must be skilled in using voicemail and phone features and available technology for language interpretation.
  • Must have expert knowledge of the Allscripts Care Management program and Epic electronic medical record (EMR).
  • Must be able to use Microsoft Outlook and have basic knowledge of Excel and Word.
  • Must be able to switch easily between computer applications.
  • Must be available to work or be on call on weekends and holidays as assigned; on-call staff must be reachable by pager or cell phone and respond promptly to pages by phone.
  • May be required to pass a color-blind test, according to department guidelines.
  • Must be able to work independently with minimal guidance.

Responsibilities

  • Coordinate and facilitate patient care activities to ensure appropriate services and efficient resource utilization, improve coordination across the healthcare continuum, and contribute to improved patient satisfaction and outcomes.
  • Provide compassionate, culturally sensitive, holistic nursing care to patients in a clinical setting in support of the nursing mission, practice values, and strategic plan.
  • Provide case management, advocacy, and care coordination to hospital patients in varied settings to support seamless care transitions while minimizing delays and readmission risk.
  • Conduct early patient assessments through case-finding and referral to identify care coordination and discharge-planning needs.
  • Create individualized, patient-focused plans to meet continuing care needs.
  • Refer patients to post-hospital care providers using knowledge of community resources.
  • Collaborate with the healthcare team to support timely discharge, complete patient education and instructions, and appropriate follow-up.
  • Use current clinical nursing knowledge to educate patients and families about chronic disease conditions.
  • Collaborate with staff nurses and physicians to ensure all core-measure elements are met before discharge.
  • Conduct the clinical review process according to the Utilization Management Plan.
  • Identify and intervene in situations that pose financial risk to the patient and the organization.

Desired Qualifications

  • Case Management Certification (ACM) is preferred.
  • Certification within three years in a specialty approved by the Chief Nursing Officer or designee is preferred, such as Case Management, Medical-Surgical Nursing, or Diabetic Education.

About the Company

Mercyhealth

Integrated health system delivering coordinated care

Mercyhealth is an integrated health system offering hospital-based, clinic-based, and post-acute and retail health services, plus its own insurance company. Patients access care within a connected network where doctors, nurses, and staff coordinate across settings to ensure smooth transitions and better outcomes. It differentiates itself by providing a fully integrated experience—clinical care linked with an owned insurance plan—that enables coordinated treatment and consistent care close to home. Its goal is to deliver exceptional health care and make lives better for patients and families by improving access, outcomes, and the patient experience through end-to-end integration.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Rockford, IL
Founded
Not listed

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