Inpatient Social Worker (MSW) or Registered Nurse (RN) Care Manager, Full Time, Sacred Heart Campus
Core
Coordinate complex discharge planning and provide psycho-social assessment/interventions for inpatients to facilitate safe transitions of care and minimize readmissions.
Role type
Inpatient Care Manager (Social Worker or Registered Nurse)
Builds
Discharge plans and care coordination pathways
Domain
Healthcare / Hospital Inpatient Care
Required skills
Discharge planning, psycho-social assessment, interdisciplinary collaboration, regulatory compliance, resource coordination, root cause analysis, critical thinking, medical terminology knowledge
Preferred skills
Care management experience, palliative care knowledge, BSN/MSN, Case Management Certification, perinatal social work membership
Technologies
Electronic health records, regulatory notice systems
Responsibilities
Develop discharge plans addressing psycho-social needs; collaborate with multidisciplinary teams to design care pathways; monitor length of stay and mitigate barriers to discharge; issue regulatory notices (IMM, MOON, BPCI); monitor risk assessments and implement interventions; coordinate community resources for post-discharge follow-up; provide supportive counseling and advocacy; facilitate resolution of care issues; document care management functions.
Seniority
Mid-level, hands-on IC