RN Case Manager - Inpatient
Core
RN Case Manager providing inpatient case management, discharge planning, and utilization review to optimize patient outcomes and resource use.
Role type
Inpatient RN Case Manager
Builds
Care transitions, discharge plans, and post-acute service referrals
Domain
Healthcare / Inpatient Case Management
Deliverable
client delivery
Required skills
Patient needs assessment, interdisciplinary collaboration, discharge planning, utilization review, regulatory compliance, care coordination, data analysis
Preferred skills
Supervisory experience, leadership
Technologies
InterQual, JVION, predictive analytic software
Responsibilities
Perform face-to-face patient assessments and needs evaluations; coordinate referrals for post-acute services (home health, hospice, DME); facilitate care transitions between acute hospitals and other settings; communicate with Utilization Review nurses and Social Work; document care plans and interventions in medical records; analyze patient care and fiscal data to improve quality outcomes; assist with medication authorization and co-pay management.
Seniority
Mid-level, hands-on IC