Acute Care Manager, Complex Care (RN)
Core
Advocate for patients and families navigating external providers and healthcare systems to ensure safe, timely discharge to the lowest level of care.
Role type
Acute Care Manager (RN)
Builds
Effective care plans and longitudinal care coordination across the continuum of care.
Domain
Healthcare / Acute and Post-Acute Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Utilization review, case management, discharge planning, social assessment, care coordination, SDoH screening, clinical documentation
Preferred skills
Bilingual communication, compact RN license, Certified Case Manager certification
Technologies
EMR systems, Microsoft Office Suite
Responsibilities
Conduct hospital bedside discussions to explain care management programs; coordinate transitions between inpatient, SNF, LTC, and home; perform SDoH screening and social assessments; facilitate warm handoffs to community care nurses; arrange follow-up PCP appointments; document discharge dates and updates.
Seniority
Mid-level, hands-on IC