Care Transitions RN Case Manager 24 Hours Days
Core
RN Case Manager facilitating care transitions and discharge planning for hospitalized patients to ensure safe, timely discharge and efficient resource utilization.
Role type
RN Case Manager (Care Transitions)
Builds
Patient discharge plans and care transition pathways
Domain
Healthcare / Hospital Operations
Required skills
Care coordination, discharge planning, interdisciplinary collaboration, regulatory compliance, documentation, payer verification, readmission risk management
Preferred skills
Bachelor's degree in nursing, ACM/CCM/CMAC certification
Technologies
Electronic health records (implied by documentation tasks)
Responsibilities
Review cases within 24-48 hours of admission to establish length of stay and transition needs; Collaborate with medical teams to formulate treatment plans and promote patient flow; Coordinate overall transition plans with social workers, external agencies, and families; Identify patients at high risk for unplanned readmissions and initiate interventions; Document care plans and assessments per department policy; Verify payer coverage for anticipated discharge needs.
Seniority
Mid-level (3-5 years experience)