RN Case Manager

2 weeks ago


Philadelphia PA, United States InnovAge Full time
RN Case Manager

Responsibilities The Registered Nurse Case Manager performs daily coordination of acute and post-acute care with facility staffing. The RN Case Manager actively assists providers and facility staff in managing InnovAge admitted participants by facilitating care through interaction with facility departments and community services. Reviews for medical necessity and level of care appropriateness in collaboration with the InnovAge IDT while coordinating post-facility discharge planning and support utilization review and improvement activities. The role aims to optimize positive health outcomes and prevent hospital readmissions by focusing on the transitional care period. Participant Nursing Care Coordination - 70% * Assesses, develops, plans, and evaluates care provided to participants while admitted to hospital settings via facility EMR and discussions with facility staff. * Collaborates with providers, other members of the interdisciplinary health care team, and patient/family in the development, implementation, and documentation of appropriate, individualized plans of care to ensure continuity, quality, and appropriate resources upon discharge. * Participates in the daily IDT meeting and formulating Plans of Care for InnovAge PACE program participants, as well as in other interdisciplinary team settings that plan, coordinate, and monitor the care of InnovAge PACE program participants. * Recommends alternative levels of care and ensures compliance with federal, state, and local requirements. * Collaborates with facility staff to develop and coordinate the implementation of a discharge plan to meet participants' identified needs. * For participants discharging to home, coordinates with IDT to identify new equipment and/or service needs. * Communicates the plan to providers, patients, family/caregivers, staff, and appropriate community agencies. * Ensures scheduling of appointments for post-discharge care for primary care and/or home care visits and ensures priorities are made based on participants' needs. * When appropriate, provides participants with verbal education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness. * Documents all necessary information and maintains participant medical record(s), and fulfills agency charting and reporting requirements. * Complies with all regulatory and policy, and procedure guidelines. Utilization Management - 30% * Maintains an ongoing list of participants who are currently hospitalized and obtains daily updates regarding their condition and discharge plans. Relays these updates to IDT daily. * Maintains an ongoing list of participants receiving skilled services in a SNF. Relays updates to IDT as appropriate. * Sends any clinical updates, therapy evaluations, discharge summaries, etc., received from hospitals to IDT for review. * Participates in IDT discussions of ongoing SNF stays, aware of reasons for long stays and barriers to discharge. * Closely monitors all patients at skilled status within SNFs, including short-stay and long-stay residents, working with the IDT to ensure that skilled status is only provided when necessary and for the minimum number of needed days. * Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation. * Maintains and reviews participant records, charts, and other pertinent information. * Requests documents of hospital stay and diagnostic results for participant records when needed. * Effectively communicates in interdisciplinary team meetings, family meetings, and clinic meetings. * Identifies relevant staff involved in discharge planning at frequently used hospitals and maintains ongoing relationships with these staff members. * Visits the PACE center, hospitals, and contracted SNFs quarterly to build relationships REQUIRED * Associate degree in nursing * Current State-issued Registered Nurses License PREFERRED * 3 years coordinating care and discharge planning * 3 years health care experience with emphasis in geriatrics * Bachelor's degree in nursing * Bi-lingual * Certification as a Gerontological Nurse Benefits InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model. InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. Applicants are considered until the position is filled. Posted Salary Range USD $89,500.00 - USD $99,000.00 /Yr.


  • Case Manager RN

    2 weeks ago


    Philadelphia, PA, United States Roxborough Memorial Hospital Full time

    Case Manager RN Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and...

  • Case Manager RN

    2 days ago


    Philadelphia, PA, United States Thomas Jefferson University Hospital Full time

    Case Manager RN Responsibilities 004015 The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care. Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients. Essential Functions *...


  • Philadelphia, Pennsylvania, United States TotalMed Case Management Staffing Full time

    Job SummaryTotalMed Case Management Staffing is seeking a skilled Registered Nurse to fill a Case Management position in a dynamic healthcare setting.Key ResponsibilitiesProvide high-quality patient care and case management services to patients with complex medical needs.Collaborate with healthcare teams to develop and implement effective care plans.Conduct...

  • Case Manager RN

    2 days ago


    Philadelphia, PA, United States Thomas Jefferson University Hospital Full time

    The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care. Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned patients. Interacts with co-workers, visitors, and other staff consistent...

  • Case Manager RN

    1 month ago


    Philadelphia, PA, United States Thomas Jefferson University Hospital Full time

    Case Manager RNResponsibilities 004015 Join the mission of Improving Lives as a Case Manager RN at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to improve lives is never done. Case Manager RNs are responsible for the following: *...

  • Case Manager, RN

    2 months ago


    Philadelphia, PA, United States Thomas Jefferson University Hospital Full time

    Case Manager, RNResponsibilities 004015 Join the mission of Improving Lives as a Case Manager RN at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to improve lives is never done. Case Manager RNs are responsible for the...

  • Case Manager RN

    1 month ago


    Philadelphia, PA, United States Thomas Jefferson University Hospital Full time

    Case Manager RNResponsibilities 004015 Join the mission of Improving Lives as a Case Manager RN at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to improve lives is never done. Case Manager RNs are responsible for the following: *...

  • RN CASE MANAGER

    2 weeks ago


    Philadelphia, PA, United States Temple University Hospital Full time

    RN CASE MANAGER - (Temple/Chestnut Hill Hospital - 24 hours days) The Case Manager is a registered nurse responsible for coordinating the care and services for an assigned unit-based patient population. The Case Manager promotes quality of care, supports effective resource utilization, and facilitates the patient's progression of care to proactively plan...

  • RN CASE MANAGER

    2 weeks ago


    Philadelphia, PA, United States Temple University Hospital Full time

    RN CASE MANAGER - (Temple/Chestnut Hill Hospital - 24 hours days) The Case Manager is a registered nurse responsible for coordinating the care and services for an assigned unit-based patient population. The Case Manager promotes quality of care, supports effective resource utilization, and facilitates the patient's progression of care to proactively plan...

  • RN CASE MANAGER

    2 days ago


    Philadelphia, PA, United States Temple University Hospital Full time

    RN CASE MANAGER (FT; 40hrs/wk) - Temple University Hospital In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets...


  • Philadelphia, PA, United States Temple University Hospital Full time

    RN - CASE MANAGER (FT; 40hrs/wk) - Temple University Hospital In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets...


  • Philadelphia, PA, United States Roxborough Memorial Hospital Full time

    Case Manager Registered Nurse Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Roxborough Memorial...


  • Philadelphia, PA, United States Roxborough Memorial Hospital Full time

    Case Manager Registered Nurse Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Roxborough Memorial Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Roxborough Memorial...

  • Case Manager RN

    4 weeks ago


    Philadelphia, PA, United States Thomas Jefferson University Hospital Full time

    Case Manager RNResponsibilities 004015 The Case Manager RN utilizes advanced nursing skills and knowledge to comprehensively coordinate care for a defined patient population to facilitate patients through the continuum of care. Coordinates all aspects of discharge planning and establishes a safe discharge plan for assigned...

  • Case Manager RN

    3 weeks ago


    philadelphia, United States Roxborough Memorial Hospital Full time

    Case Manager RNOverview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians....

  • RN CASE MANAGER

    2 weeks ago


    Philadelphia, PA, United States Temple University Hospital Full time

    RN CASE MANAGER - (Temple/Chestnut Hill Hospital - 40 hours days) The Case Manager is a registered nurse responsible for coordinating the care and services for an assigned unit-based patient population. The Case Manager promotes quality of care, supports effective resource utilization, and facilitates the patient's progression of care to proactively plan...

  • RN CASE MANAGER

    2 weeks ago


    Philadelphia, PA, United States Temple University Hospital Full time

    RN CASE MANAGER - (Temple/Chestnut Hill Hospital - 40 hours days) The Case Manager is a registered nurse responsible for coordinating the care and services for an assigned unit-based patient population. The Case Manager promotes quality of care, supports effective resource utilization, and facilitates the patient's progression of care to proactively plan...

  • Case Manager RN

    2 days ago


    Philadelphia, Pennsylvania, United States GHR Healthcare, LLC PM Acute Team 4 Full time

    Job Summary:GHR Healthcare, LLC PM Acute Team 4 is seeking a dedicated and experienced Case Manager RN to join our team. As a Case Manager RN, you will play a critical role in coordinating patient care, ensuring proper medical documentation, and facilitating critical care transport when necessary.Key Responsibilities:Coordinate patient care to ensure...


  • Philadelphia, PA, United States Public Health Management Corporation Full time

    Registered Nurse Case Manager-Home Health Position Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Essential Functions: * Demonstrates...

  • Travel Nurse RN

    1 month ago


    Philadelphia, PA, United States Cross Country Nurses Full time

    Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Job Description As a case management nurse (RN...