RN Care Manager
Core
Conducts patient assessments, establishes care plans, and manages discharge planning and transitions to ensure continuity of care and regulatory compliance.
Role type
Registered Nurse Care Manager
Builds
Coordinated discharge plans and care transitions for patients and families
Domain
Healthcare / Hospital Case Management
Deliverable
client delivery
Required skills
Patient assessment, discharge planning, utilization management, regulatory compliance, care coordination, crisis management, community resource navigation, data collection, payer communication
Preferred skills
Knowledge of Medicare guidelines, managed care program requirements, electronic health record navigation
Responsibilities
Conduct complete assessments and establish care plans; Provide continuity of care and discharge planning services; Initiate internal and external referrals; Document discharge planning interventions and utilization review activity; Communicate effectively with the healthcare team and community agencies; Educate medical staff on admission status and utilization management issues
Seniority
Mid-level, hands-on IC