Supervisor - RN Case Manager - Coordinated Care

Knowledge, Skills, and Abilities: 

Must possess strong interpersonal, communication, and negotiation skills, along with demonstrated leadership capabilities. Requires a solid understanding of discharge planning, utilization management, case management, performance improvement, managed care reimbursement, and data collection, analysis, and reporting. Must have knowledge of the full continuum of care, including pre-acute, acute, post-acute settings, and community-based resources. Able to work independently, exercising sound clinical judgment in all decision-making, and demonstrates high emotional intelligence in fast-paced, high-stress environments. Fully capable of performing all responsibilities of the RN Case Manager I role. Leads effective educational sessions for colleagues, supports the implementation of case management and nursing models, and is recognized by peers as a leader within the department.

Responsibilities

• Oversees management of assigned patient populations across the continuum to ensure safe, timely, and appropriate discharge planning.
• Serves as a clinical resource to the multidisciplinary team, supporting care transitions, resolving barriers, and implementing clinical pathways in collaboration with leadership.
• Drives patient satisfaction by ensuring discharge plans are effectively assessed, developed, and communicated to patients, families, and the care team.
• Leads efforts to reduce excess hospital days and coordinates seamless, patient-centered discharges.
• Provides education and professional development for case management staff through training sessions, workshops, and mentorship.
• Acts as a key resource on case management responsibilities, regulations, clinical standards, ethics, and healthcare law for internal staff, payers, and regulatory bodies.
• Identifies and mitigates risks or barriers to care and discharge by developing effective intervention strategies.
• Utilizes the nursing process (assessment, intervention, implementation, evaluation) and critical thinking to guide clinical decision-making in discharge planning.
• Ensures timely, accurate, and complete documentation in compliance with legal, ethical, and accreditation standards.
• Supports regulatory and accreditation compliance across all case management activities.
• Collaborates with social workers as part of the dyad model to address psychosocial needs and enhance discharge planning.
• Promotes a culture of continuous improvement, identifying opportunities and applying strategies to enhance efficiency and outcomes.
• Enhances team effectiveness and staff satisfaction through leadership, accountability, and team-building initiatives.
• Accepts delegated responsibilities from leadership and collaborates with departments or leaders to expedite patient care.
• Maintains a strong customer service focus, engaging with internal and external stakeholders to ensure coordinated, high-quality care.
• The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional exposure to bio-hazardous conditions such as risk of

radiation exposure, blood borne pathogens, fumes or airborne particles, and/or toxic or caustic chemicals which mandate attention to safety considerations, occasional working hours significantly beyond regularly scheduled hours, occasional work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 25 pounds, occasional climbing, occasional crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, occasional reaching, occasional sitting, occasional standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more).