Inpatient Social Worker (MSW) or Registered Nurse (RN) Care Manager, Weekend Program, Geisinger St. Luke's Campus
Core
Coordinate complex discharge planning, provide psycho-social assessment and counseling, and intervene to minimize patient readmissions across the continuum of care.
Role type
Inpatient Care Manager (Social Worker or Registered Nurse)
Builds
Safe discharge plans and post-discharge care transitions
Domain
Healthcare / Hospital Care Management
Required skills
Discharge planning, psycho-social assessment, root cause analysis, regulatory compliance, resource coordination, critical thinking, medical terminology knowledge
Preferred skills
Care management experience, advanced degree (MSN), Case Management Certification, BSN within 3 years
Technologies
Electronic health record systems
Responsibilities
Develop discharge plans addressing psycho-social needs; collaborate with multidisciplinary teams to design patient-specific care transitions; monitor risk assessments and implement interventions; coordinate community resources to prevent readmissions; issue regulatory notices (IMM, MOON, BPCI); document care management functions in electronic systems.
Seniority
Mid-level, hands-on IC