RN Case Managers are registered nurses tasked with the evaluation and implementation of health care plans for individual patients. They are concerned with providing effective and efficient medical care while managing the costs of treatment. An RN Case Manager also acts as a liaison between patients, their families, doctors, and health care providers.
Employment opportunities for RN Case Managers are most commonly found in hospitals, nursing homes, hospices, and health insurance agencies.
Responsibilities of an RN Case Manager include:
- Assess new patients
- Update and revise patient health care plans as needed
- Educate patients and families about health care plans and options
- Make clinical decisions for routine patient care
- Accurately document and submit medical records
- Demonstrate knowledge in medical care; such as diagnostic procedures, medication, symptoms, and other treatment-related therapies
- Provide emotional support to patients and families
- Evaluate and determine needs of patients
- Review results from medical tests
- Implement physician orders and other nursing procedures
- Create an environment for open communication
RN Case Managers are required to have an associate or bachelor degree from an accredited nursing school. Topics studied generally include anatomy, psychology, physiology, behavioral science, nursing responsibilities, and more.
An RN Case Manager must be able to multitask and handle numerous responsibilities throughout each day. They must also be effective communicators with patients, families, doctors, and insurance providers; capable of understanding and explaining the features of Medicare, Medicaid, and other insurance options. In-depth knowledge of health care services and medical terminology is a requirement as well.