Inpatient Social Worker (MSW) or Registered Nurse (RN) Care Manager, Weekend Program, Geisinger St. Luke's Campus
Core
Coordinate complex discharge planning and provide psycho-social assessment/interventions for inpatient patients to ensure safe transitions to outpatient care or home.
Role type
Inpatient Care Manager (Social Worker or Registered Nurse)
Builds
Safe discharge pathways and post-discharge follow-up plans
Domain
Healthcare / Hospital Care Management
Deliverable
client delivery
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 documentation systems
Responsibilities
Develop and update discharge plans addressing psycho-social needs; collaborate with multidisciplinary teams to facilitate patient goals; monitor risk assessments and resource utilization; identify unplanned readmissions and complete root cause analysis; provide supportive counseling and advocacy to patients and families; issue regulatory notices (IMM, MOON, BPCI); coordinate community resources for safe discharge.
Seniority
Mid-level, hands-on IC