Case Manager RN

Company: MercyOne
Location: Des Moines
Posted on: April 17, 2025

Job Description:

Employment Type: Full time Shift: Day Shift Description: At MercyOne, health care is more than just a doctor's visit or a place to go when you're in need of medical attention. Our Mission is based on improving the health of our communities - that means not only when you are sick but keeping you well.

MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa's largest medical center, with 802 beds available. The hospital is one of the Midwest's largest referral centers.

With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa's largest employers.

Want to learn more about MercyOne Des Moines? Click here: Find a Location Des Moines, Iowa (IA), MercyOne Des Moines Join the MercyOne Family! We are looking to hire a Case Manager RN! As a Case Manager RN here at Mercyone, you will d evelop, coordinate and oversee the implementation of patient specific plan of care. Works collaboratively with physicians, staff, and other health care professionals/agencies to negotiate care coordination across the health care continuum for disease specific populations. Communicates feedback about progress towards client goals with appropriate individual/groups at specific intervals. Collaborates with other services and disciplines, and when appropriate, the client's medical physician and/or related health care professionals/agencies to enhance a holistic approach to patient care. Ensures safety, best practice, and high quality standards of care are maintained across the continuum. Is accountable for Care Management evaluation including: data capture and analysis, outcome achievement, and fiscal responsibility in an effort to improve service, quality and cost provided to the clients served. ESSENTIAL FUNCTIONS:

• Completes a comprehensive assessment of the client's holistic health status and needs to include clinical condition, support systems and resources, client/family knowledge, perception and adjustment towards disease process, and community resources.
• Screens patients/clients for identified and potential needs. Makes referral to appropriate multi-disciplinary services.
• Documents case management plan to include: assessment, client/family participation and understanding, consult referrals and discharge plan of care.
• Educates staff, clients/families, and medical community on care coordination and regulatory issues that impact care and outcomes.
• Documents clearly and timely in the Electronic Health Record and other required systems to insure effective communications along the continuum.
• Collaborates with Utilization Management staff regarding payer information, level of care and status determinations for patients.
• Understands and self manages to support facility/CIN level success goals; including improvements in quality, cost of care and member experience for the facility/CIN's population.
• Identifies opportunities for improvement (at individual, facility/CIN levels and actively works with healthcare and facility/CIN team to correct or improve results.
• Develops and utilizes tools available to effectively evaluate, summarize and communicate patient's progress toward outcomes to members of the healthcare team and patient and family.
• Has a working knowledge of financial and reimbursement processes Medicare DRG payment, Case Rates, Managed Care Risk Contracting, etc.
• Coordinates and conducts patient care rounds and family conferences.
  • Collaborates with Unit Director in strategies/tactics to achieve unit based goals such as quality, financial, and safety indicators.
    • Demonstrates a wide theory/research base that supports sound clinical and psychological orientation. Specific knowledge regarding pathophysiology, natural history of disease processes, and impact on functional ability and level of care.
    • Serves as a professional role model/mentor and change agent to develop and assist others.
    • Other duties as assigned by CIN Director/Care Management/Social Services Manager.MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
      • Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa
      • Three years RN or Care Coordination experience, required.
      • Bachelor's degree in nursing or actively pursuing (at least six credits per year). A Bachelor's degree in a related field is also acceptable. .
      • Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire. Colleagues of MercyOne Health System enjoy c ompetitive compensation with a full benefits package and opportunity for growth throughout the system ! Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care . Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Keywords: MercyOne, Ames , Case Manager RN, Executive , Des Moines, Iowa