Registered Nurse Case Management Services

Coordinates the overall interdisciplinary plan of care for patients from admission to discharge for the Case Management department.

• Creates plan for care across the continuum. Integrates patient/family preferences and values. Advocates for resources and removal of barriers for the patient.
• Monitors patients' medical necessity and level of care through assessments, ongoing evaluations and/or patient records.
• Maintains ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of care plan.
• Serves as a resource for adequate medical record documentation, level of care recommendations, and services as they relate to diagnoses and treatment options for post-discharge care. Acts as a liaison between patient and post acute services.
• Collaborates with payers for benefit optimization.
• Advocates for effective and efficient utilization of clinical resources.

Licensure / Certification / Registration

• Required Credential(s):
  • Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.

Preferred Credential(s):

• BLS Provider. American Heart Association or American Red Cross accepted.
• Case Manager credentialed from the Commission for Case Manager Certification (CCMC).

Education

• Diploma from an accredited school/college of nursing required. OR Required professional licensure at time of hire.