RN Case Manager - Community - Full Time Days

$66,560 - $99,840/Yr

Sanford Health - Sioux Falls, SD

Full-time - Mid Level

Sioux Falls, SD

10,001+ employees

Hospitals

About the position

The RN Case Manager position at Sanford Health is a full-time role focused on providing comprehensive care management for complex patients transitioning from hospital to home. This position is designed to reduce readmissions by ensuring that patients receive the necessary support and resources during their recovery process. The RN Case Manager will work autonomously while being supported by a team of experienced clinicians, including certified nurse practitioners, nurse case managers, and social workers. The role emphasizes the importance of individualized care planning, patient education, and collaboration with various healthcare professionals to ensure a seamless transition for patients. In this role, the RN Case Manager will utilize the professional nursing process to assess patient needs, develop care plans, and coordinate care across the healthcare continuum. This includes collaborating with physicians and advanced practice providers, managing ambulatory risk registries, and conducting pre-visit chart reviews to prepare for comprehensive patient visits. The RN Case Manager will also be responsible for patient advocacy, helping patients navigate insurance and assistance programs, and facilitating off-site education opportunities as needed. The position requires a self-motivated and autonomous individual who is willing to teach and support the healthcare team while seeking professional development in their area of expertise. The RN Case Manager will also play a crucial role in supporting quality improvement initiatives and transforming the healthcare delivery system. This position is ideal for a nursing professional who is passionate about patient-centered care and is looking to make a significant impact in the lives of patients and their families during critical transitions in their healthcare journey.

Responsibilities

• Provide individualized nursing care utilizing the professional nursing process.
• Assist with the coordination of patient care across the continuum by collaborating with healthcare professionals.
• Act as a liaison with the healthcare team and community resources.
• Manage ambulatory risk registry to identify high and rising risk populations.
• Conduct pre-visit chart reviews to prepare for comprehensive patient visits.
• Facilitate patient advocacy efforts and coordinate care with insurance companies and assistance programs.
• Provide specialized, multidisciplinary patient and family-centered education.
• Support quality improvement and transformation of the healthcare delivery system.

Requirements

• Bachelor's degree in nursing required.
• Graduate from a nationally accredited nursing program required.
• Minimum of three years' experience in population health, case management, utilization review, health plan, ambulatory care, or quality management required.
• Currently holds an unencumbered RN license with the State Board of Nursing or possesses multistate licensure if in a Nurse Licensure Compact (NLC) state.
• Care Coordination Transition Manager (CCTM) certification required within 18 months of accepting the position.
• Basic Life Support (BLS) certification required within six months of employment.
• Must possess a valid driver's license.

Nice-to-haves

• Experience in healthcare reimbursement models.
• Knowledge of administrative and management techniques.

Benefits

• Opportunities for professional development and advancement within the organization.
• Supportive team environment with experienced clinicians.
• Comprehensive health benefits package.
• Flexible scheduling options.