RN Care Coordinator Rehab inpatient
Core
RN Case Manager integrating cost, quality, and utilization to facilitate patient admission, continued stay, and discharge planning in an inpatient rehab setting.
Role type
Registered Nurse (RN) Care Coordinator / Case Manager
Builds
Seamless transitions from hospital to post-acute care and community settings
Domain
Healthcare / Rehabilitation / Utilization Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Utilization review, care coordination, discharge planning, medical necessity determination, payer communication, interdisciplinary collaboration, regulatory compliance documentation
Preferred skills
Case Manager Certification (CCM), Basic Life Support (BLS), experience in home care or acute care settings
Technologies
InterQual, CMS regulations, hospital information systems
Responsibilities
Review and evaluate appropriateness of admission or continued stay based on medical necessity; manage a case load of patients facilitating utilization management and care coordination; coordinate safe and effective discharge and transition to appropriate levels of care; communicate with payers, patients/families, physicians, and post-acute providers; document utilization reviews, care plans, and interventions according to regulatory requirements; participate in readmission initiatives and process improvement projects.
Seniority
Mid-level, hands-on IC