RN Care Manager, Helena, MT, United States

RN Care Manager

New Yesterday

The Staff Pad is proud to partner with St. Peter's Health in Helena, Montana, in the search for a dedicated RN Care Manager. This vital position offers the opportunity to influence patient care outcomes and support smooth transitions across the continuum of care within a mission-driven organization.

Position Overview:
As a CM/UR RN, you will collaborate with patients, families, physicians, and interdisciplinary teams to guide patients through their Emergency Room and acute care journeys. You'll manage utilization reviews, ensure the appropriate level of care, and create safe and timely discharge plans. This role blends clinical expertise, advocacy, and communication to ensure patients receive the right care at the right time in the most cost-effective way.

Key Responsibilities:

Access Management / ED Coordination:

Partner with medical staff to determine correct admission status and treatment plans
Meet with patients/families to assess navigation and transition needs
Coordinate reviews and liaise with E.H.R. physician consultants
Identify and help resolve financial or transition barriers
Use high-risk screens to flag complex cases and coordinate with social work

Progression of Care:

Support adherence to evidence-based clinical protocols
Coach physicians in documentation best practices and compliance
Join interdisciplinary rounds to advocate for effective treatment plans
Initiate referrals and manage discharge services such as home health, DME, or hospice

Transition / Discharge Planning:

Identify patients with complex psychosocial needs and coordinate social services
Guide safe discharges or transfers to alternate levels of care, including Swing Bed status
Communicate plans and transitions clearly to the receiving CM team when applicable

Rotational Responsibilities Include:

Utilization Review: Conduct daily insurance certifications and patient reviews
ED Case Management: Assess admission necessity and support outpatient referrals
Discharge Planning: Assist inpatient units with discharge logistics and coordination

Qualifications:

Experience: Minimum 3-5 years of acute care experience required
Education: Registered Nurse (RN) required; BSN or equivalent preferred
Licensure: Current Montana RN license
Preferred Certifications: Case Management and/or Utilization Review certification

Skills Attributes:

Exceptional communication, negotiation, and time management skills
Proficiency in Word, Excel, and familiarity with Meditech preferred
Ability to work independently and collaboratively across departments

Location:
St. Peter's Health - Helena, Montana
Enjoy the balance of meaningful work in a supportive healthcare system and the natural beauty of Montana's capital city.

PandoLogic. Keywords: Nurse Manager, Location: Helena, MT - 59604

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Location:: Helena, MT, United States

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RN Care Manager

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