Collaborates with hospitals and skilled nursing facilities for effective patient management
Responsible for communication with patients, continuing care coordinators, social workers, and physicians
Applies case management principles, ensuring appropriate resource utilization and level of care
Assists in discharge planning for Integra ACO patients
Completes documentation in Epic
Engages in process improvement activities to promote positive clinical outcomes
Tracks patients identifying patterns impacting cost-quality and develops improvement plans.

Registered Nurse with bachelor's degree in nursing or equivalent
Certification in Case Management with current RN Rhode Island license
Minimum of 5 years related clinical Acute Care or Case Management experience required
Knowledge of utilization review, quality assurance, discharge planning, third party payer regulations and community health
Experience demonstrating high level of interpersonal skills, both oral and written, analytical skills, leadership abilities and effectiveness within a team environment.

Transition Nurse Care Manager

Key skills