Advanced Case Manager Extender RN Support

Job Summary: This role supports patients transitioning before and after acute care episodes, focusing on medical, psychosocial, and economic factors. Emphasis is placed on assisting individuals with chronic conditions and functional limitations to navigate healthcare systems efficiently, reducing fragmentation and duplication while promoting coordinated services, patient engagement, and improved health outcomes.

Essential Responsibilities:

- Conduct initial screenings and evaluations for non-complex planned admissions under supervision.

- Facilitate access to services such as skilled nursing facilities, home care, hospice, infusion therapy, long-term acute care, durable medical equipment, and transportation.

- Monitor and reassess care plans for low-risk patients.

- Develop and maintain partnerships with physician practices, outpatient providers, and community services.

- Serve as a liaison for post-acute care providers and physician practices regarding care provision.

- Promote system integration and interdisciplinary collaboration.

- Maintain accurate contact information for community partners.

- Manage Medicare communications and observation letters.

- Participate in departmental and community initiatives related to care transitions.

- Oversee department resources including durable medical equipment loaner programs.

- Handle department communications including phone and visitor inquiries.

Skills and Abilities:

- Strong knowledge of healthcare industry and government regulations related to discharge planning, abuse prevention, advanced directives, safety, and privacy.

- Skilled in promoting patient and family engagement.

- Logical thinker with ability to process complex information.

- Fiscal responsibility in resource allocation.

- Excellent written and verbal communication skills.

- Ability to relate effectively to diverse populations including patients, families, physicians, and community representatives.

- Empathetic, respectful, and professional in handling sensitive information.

- Capable of managing stressful situations calmly.

- Understanding of ethical and legal healthcare issues.

- Familiarity with government programs and social service agencies to assist patients.

- Independent decision-making and effective multitasking in dynamic environments.

- Willingness to seek supervision and consultation as needed.

Education & Experience:

- Bachelor's degree preferred from an accredited institution with additional healthcare experience.

- Consideration given to candidates with relevant certification and substantial healthcare experience.

Work Shift: 4th Shift

Scheduled Weekly Hours: PRN (as needed)

This position is based in a regional healthcare setting within the Midwest United States, serving diverse patient populations and community partners.