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RN Case Manager
ChenMedRegistered Nurse case manager delivering intensive home-based care for ChenMed seniors. Coordinating complex care plans, clinical interventions, and community resources to prevent hospital admissions.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in nursing and case management, with a focus on patient assessments, care plan development, and coordination of multidisciplinary care. Proficient in navigating healthcare systems and connecting patients with community resources while ensuring quality patient care.
Highest-signal resume keywords
Registered Nurse (RN) LicenseClinical Work ExperienceCommunity Case Management ExperienceCertified Case Manager (CCM)Basic Life Support (BLS) Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AssessmentCare Plan DevelopmentClinical SupervisionMedication MonitoringFall Prevention AssessmentSocial Determinants of Health ScreeningPatient Progress MonitoringDocumentation ProceduresCommunity Health KnowledgeNursing Theory and Practice
Soft Skills
Interpersonal SkillsCommunication SkillsCritical ThinkingOrganizing SkillsAutonomous Work Ability
Tools & Technologies
Microsoft Office SuiteExcelWordPowerPointOutlook
Certifications & Qualifications
Registered Nurse (RN) LicenseCertified Case Manager (CCM)Basic Life Support (BLS) Certification
Industry Keywords
Case ManagementPatient CareHealthcare SystemsCommunity ResourcesMultidisciplinary Team Coordination
About the role
Key responsibilities & impact- Provide in-house, facility, telephonic, and home visits to high-risk patients to prevent unnecessary hospital admissions and readmissions
- Perform field nursing interventions, patient assessments, care-plan development, clinical assessments, fall-prevention assessments, social-determinants-of-health screenings, medication monitoring, health education, and self-care instruction
- Conduct initial case-management assessments, obtain patient consent, and coordinate individualized plans of care with patients, caregivers, PCPs, and care-team members
- Review charts and conduct final patient discharge; obtain formal approval from the Complex Care Leadership Team when required
- Conduct supervisory visits with LPNs and patients, providing education and overseeing appropriate discharge
- Coordinate multidisciplinary team meetings, report and document care activities, and follow up on action items
- Help patients navigate healthcare systems and connect them with community, social, and financial resources
- Coordinate service delivery, facilitate use of natural supports and community resources, and maintain communication with families and community providers
- Establish supportive relationships that promote patient self-management
- Monitor the quality, frequency, and appropriateness of HHA visits and other outpatient services
- Collaborate with Complex Care and Clinical Strategy Team members, including Hospital Care Managers and Post Hospital Care Coordinators and Managers, to ensure holistic care
- Provide urgent home visits under PCP direction to prevent unnecessary hospital admissions
- Provide clinical supervision and serve as a clinical lead for the Complex Care Team
- Perform other duties as assigned by the manager
Requirements
What you’ll need- Associate degree in Nursing required
- Valid, active Registered Nurse (RN) license in the state of employment required
- Minimum 2 years of clinical work experience required
- Minimum 1 year of community case-management experience highly desired
- Bachelor’s Degree in Nursing (BSN) or RN with a bachelor’s degree in a related clinical field preferred
- Compact nursing license preferred where available
- Certified Case Manager certification through CCMC or CMCN desired/preferred
- Current, valid driver’s license required and must be maintained
- Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required within the first 90 days of employment
- Strong interpersonal and communication skills
- Critical-thinking skills
- Ability to work autonomously
- Ability to monitor, assess, and record patient progress and adjust plans accordingly
- Ability to plan, implement, and evaluate individual patient care plans
- Knowledge of nursing and case-management theory and practice
- Knowledge of patient-care charts and patient histories
- Knowledge of clinical and social-services documentation procedures and standards
- Knowledge of community health and social-services support agencies and networks
- Organizing and coordinating skills
- Ability to communicate technical information to non-technical personnel
- Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook
- Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time
- Spoken and written fluency in English
- Independent judgment required
Benefits
Comp & perks- Great compensation
- Comprehensive benefits
- Career development and advancement opportunities
- Great work-life balance
- Opportunities to grow