Registered Nurse - Case Manager
Core
Assess, plan, and evaluate patient discharge needs to coordinate transitions to next levels of care, reducing readmission risks and optimizing length of stay.
Role type
Registered Nurse Case Manager
Builds
Discharge plans and care transitions for inpatient and observation patients
Domain
Healthcare / Case Management
Deliverable
client delivery
Required skills
Discharge planning, interdisciplinary collaboration, utilization management, evidence-based practice application, root cause analysis, regulatory compliance (CoP)
Preferred skills
Epic proficiency, prior case management experience
Responsibilities
Identify and escalate gaps/barriers related to inpatient and observation length of stay; Assess patients at high risk for readmission and develop collaborative discharge plans; Participate in standard work improvement opportunities; Act as liaison with post-acute providers (SNF, rehab, home health).