Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Full Time, Grandview Campus
Core
Coordinate complex discharge planning, provide psycho-social assessment and interventions, and facilitate patient transitions across the continuum of care to minimize readmissions.
Role type
Inpatient Care Manager (RN or MSW)
Builds
Safe discharge plans and post-discharge care pathways
Domain
Healthcare / Hospital Care Management
Deliverable
client delivery
Required skills
Discharge planning, psycho-social assessment, root cause analysis, resource coordination, regulatory compliance, critical thinking, medical terminology knowledge
Preferred skills
Care management experience, BSN/MSN, Case Management Certification, perinatal social work membership
Technologies
Electronic health record systems
Responsibilities
Develop discharge plans addressing psycho-social needs; collaborate with multidisciplinary teams to design patient-specific care transitions; monitor length of stay and mitigate barriers to discharge; issue regulatory notices (IMM, MOON, BPCI); identify unplanned readmissions and complete root cause analysis; coordinate community resources for safe discharge; provide supportive counseling and advocacy to patients and families.
Seniority
Mid-level, hands-on IC