Registered Nurse - Case Manager
Core
Assesses, develops, plans, implements, and evaluates patient discharge planning needs to the next level of care in collaboration with an interdisciplinary team.
Role type
Registered Nurse Case Manager
Builds
Discharge plans and care transitions for inpatient and observation patients
Domain
Healthcare / Acute Care Nursing
Deliverable
client delivery
Required skills
Acute care nursing, discharge planning, utilization management, root cause analysis, evidence-based practice application, multidisciplinary collaboration
Preferred skills
Case management, utilization management, ED case management
Responsibilities
Ensures compliance with Condition of Participation (CoP) discharge planning; Identifies and escalates gaps/barriers related to inpatient and observation length of stay; Assesses patients at high risk for readmission and develops plans to prevent them; Acts as a case manager liaison with post-acute providers (skilled nursing facilities, rehab, home health); Applies evidence-based practice and scientific knowledge to nursing care based on patient age-specific and clinical needs.