Registered Nurse Case Manager Job Description

What is a Registered Nurse Case Manager?

Registered nurse case managers are responsible for coordinating patient care services. They help determine the type of care needed and the steps that must be taken to ensure that the patient receives that care. Other responsibilities can include scheduling appointments, determining insurance eligibility for certain treatments and performing exams and evaluations. Registered nurse case managers typically have clinical experience and begin their careers as registered nurses who care for patients daily. After, they can progress to higher levels of management. They can work in hospitals, nursing homes and other health care facilities.

To become a registered nurse case manager, you should have at least an associate's degree in nursing. Some jobs may require a minimum of a bachelor's degree. For all jobs in this field, you need to have a valid registered nurse license, which must be obtained by successfully completing a nursing program and passing a licensing exam. Registered nurse case managers should have extensive health care knowledge, strong interpersonal skills and the ability to clearly communicate decisions.

Registered Nurse Case Manager Job Description Template

Job Overview

Example Co. is one of the leading companies in our field in the area. We're proud of our 3.6 rating on Glassdoor from our employees. We are hiring a talented Registered Nurse Case Manager professional to join our team. If you're excited to be part of a winning team, Example Co. is a great place to grow your career. You'll be glad you applied to Example Co.

Responsibilities for Registered Nurse Case Manager

  • Use clinical tools, data and other information to complete assessments of patient needs
  • Create individualized and comprehensive case management and treatment plans
  • Determine insurance eligibility for various treatments and treatment programs
  • Clearly explain the reason for prescribed treatments and treatment plans to patients
  • Educate patients on benefits, services and other resources, including payment options
  • Communicate with patients, physicians and insurance companies to secure successful outcomes
  • Document complex medical information to outline and improve health results
  • Follow case and quality management processes in compliance with regulatory guidelines and company procedures

Qualifications for Registered Nurse Case Manager

  • Associate's or bachelor's degree in nursing, with a bachelor's degree preferred
  • Active nursing license in the state in which you will be based
  • Clinical knowledge of chronic conditions, such as diabetes and congestive heart failure
  • Strong written and verbal communication skills with patients, physicians and other stakeholders
  • Demonstrated ability to assess and respond to patient and family needs in a timely manner
  • General knowledge of case management practices, including familiarity with relevant products and services
  • Basic computer skills, including working knowledge of the Microsoft Office suite
  • Experience in establishing professional and collaborative relationships with patients, doctors and insurance providers
  • Certification as a diabetes educator, nutritionist, physical therapist or other specialty is a plus

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Employers: How to Write Great Job Descriptions

  • Be sure to mention requisite years of experience and educational requirements
  • Tell job seekers what's unique about your company and job
  • Ideal length is a few paragraphs or about 200 words
  • Make sure to use appropriate paragraph breaks and bullet points so it’s easy on the eyes
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