Care Manager RN New

AllianceHealth Madill has an opening for a RN full time Care Manager! We provide exceptional care for our patients and are looking for caring and knowledgeable team members to join us. As a Registered Nurse at AllianceHealth, you'll play a vital role in doing what you do best - providing quality care to our patients. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. AllianceHealth is an employer that will motivate you, inspire you, and allow you to grow. We are looking for the best. If you are too, we invite you to learn more and apply today!

Our nurses enjoy a robust benefits package including:

• Health/Dental/Life Insurance
• 100% licensure/certification reimbursement
• Tuition Reimbursement up to $5000 a year
• Up to $20K for student loan payments program

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

• Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
• Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.
• Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.
• Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• Bachelor's Degree in Nursing preferred
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required
• 2-4 years of care management experience preferred

Knowledge, Skills and Abilities

• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required
• BCLS - Basic Life Support required

State Specific Requirements

• Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.
• New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

AllianceHealth Madill is a 25-bed licensed critical care facility offering a range of inpatient and outpatient services. AllianceHealth Madill is an accredited hospital by The Joint Commission.

AllianceHealth Oklahoma®, comprising AllianceHealth Madill, AllianceHealth Durant, and AllianceHealth Medical Group, work together as a system. What does this mean for you? It will mean things like innovation, improved healthcare access, and above all, an emphasis on safe, quality care. Being a part of a system means access to shared clinical expertise, coordination of care and additional improved access to specialty care locally.

Purpose and Ambition Statement

We help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve.

INDNUR