Inpatient Case Manager — Registered Nurse (RN)

Job overview

The Inpatient Case Manager — Registered Nurse (RN) position is onsite in Johnston, RI, with compensation of $36–$41 per hour. The role supports Astrana Health’s Care Management team and its work to improve patient outcomes. The case manager coordinates adult patient care, supports utilization management, and facilitates safe transitions from inpatient care. Through record review, discharge planning, and collaboration with providers, the role aims to reduce hospital readmissions and support appropriate levels of care.

What you'll do

• Comply with case management policies and utilization management standards
• use InterQual criteria for transitions of care and placement recommendations
• collaborate with hospitalists, case managers, and discharge planners on discharge plans
• conduct initial and concurrent reviews
• assess medical necessity and level of care
• coordinate and evaluate services to reduce readmissions
• communicate determinations
• respond to inquiries
• maintain relationships with health plans, hospitals, and medical directors
• and report activities and concerns to leadership.

What we're looking for

Skills & competencies

inpatient case manager

registered nurse

rn

johnston ri

astrana health

full-time employment

monday–friday

standard day schedule

care coordination

utilization management

discharge planning

readmission reduction

rhode island rn license

$36–$41 per hour

Work arrangement

• Weekend coverage required

Why this role

The posting welcomes nurses new to case management and states that training is available; the schedule is Monday through Friday on a standard day schedule.

About the employer

Astrana Health, Inc. is hiring for this role. Industry: All Other Miscellaneous Ambulatory Health Care Services. Sector: 62.