Summary

The Registered Nurse (RN) Case Manager is responsible for coordinating and managing the delivery of comprehensive, patient-centered care. This role ensures optimal patient outcomes by assessing, planning, implementing, and evaluating individualized care plans in collaboration with interdisciplinary teams, patients, and their families. The RN Case Manager serves as a liaison between healthcare providers, community resources, and patients, focusing on effective resource utilization, continuity of care, and patient advocacy.

Primary Responsibilities

Using the nursing process, triage patient concerns via telephone and provide nursing advice.  Receive phone calls relating to appointments, urgent care, inpatient admissions, prescription refills and test results in accordance with clinic protocols and coordinate proper disposition of each. 
Performs direct patient care activities, including assessment, evaluation, and treatment.
Obtain, review, verify and/or complete health care forms related to home health care, referrals, medical equipment and other patient/physician needs as appropriate.  Assist with managed care authorization and complete insurance and medical forms for patients or assist patients in completing the forms. 
Maintains detailed, confidential medical records in accordance with established protocols.
Maintain tracking dashboard for high-risk patients, identifying critical follow-up visits.
Demonstrates proficiency in the use of the electronic medical record (EMR).
Collaborate daily with physicians and clinical staff to maximize quality care.
Communicate plan of care to patients including responding to telephone messages and facilitating medication refills under the physician's direction.
Monitor patient care to ensure patients progress towards desired outcomes.
Coordinate patient follow-up and ongoing clinical management.
Coordinates patient discharge plan, follow-up, and ongoing clinical management post discharge.
Facilitates patient discharges from the clinic including completion of discharge summaries.
Participates in staff and team meetings.
Assist with the fiscal management of annual budgets.
Participates in quality improvement efforts for continued high quality care

Knowledge – Skills – Abilities

Strong leadership, team-building and decision-making capabilities are essential, as well as the ability to set priorities, identify and resolve problems, and delegate effectively and efficiently. Excellent communication, computer, and organizational skills needed to manage workflow, patients, patient families, physicians, and others under stressful conditions. The ability to assess and triage patients and to communicate clearly and logically both orally and in writing needed. Must demonstrate reliability and maintain confidentiality.

Qualifications

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education:Bachelor’s Degree

Minimum Required Experience:3 year’s

Preferred Education: Master’s Degree

Required Certification/Licensure(s):Current Wisconsin RN License

Physical Requirements

Work requires occasionally lifting moderate weight materials, standing, or walking continuously.

Work Environment

Little or no exposure to hazards such as dust, fumes, or extreme temperatures, airborne or blood borne pathogens, extreme temperatures, or allergens.

Sensory Acuity

Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

#LI-AC1

Why MCW?

Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
Paid Parental Leave
Employee & Family Assistance Program (EFAP)
Pet Insurance
On campus Fitness Facility, offering onsite classes
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview

For a full list of positions see: MCW Careers

At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring – Collaborative – Curiosity – Inclusive – Integrity – Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

Medical College of Wisconsin

Registered Nurse Case Manager

About the job