Acute Nurse Case Manager
Core
Advocate for patients and families navigating external healthcare systems, ensuring safe and timely discharge to the lowest level of care while coordinating longitudinal care across the continuum.
Role type
Acute Care Nurse Case Manager (RN)
Builds
Effective care plans and discharge transitions for senior populations
Domain
Healthcare / Acute and Post-Acute Care
Required skills
Utilization review, care coordination, social assessment, discharge planning, SDoH screening, clinical documentation, stakeholder communication
Preferred skills
Case management certification, bilingual communication, compact RN license
Technologies
Internal charting system, hospitals EMR system, Microsoft Office Suite
Responsibilities
Conduct hospital bedside discussions to explain care management programs, identify barriers to safe discharge, coordinate transitions to SNF/LTC or home, perform SDoH screening, document medical discharge dates, arrange follow-up PCP appointments, facilitate warm handoffs to community care nurses.
Seniority
Mid-level, hands-on IC