Inpatient Care Manager (RN)
Core
Manages inpatient care transitions, discharge planning, and utilization review to ensure cost-effective, high-quality patient care and continuity across the healthcare continuum.
Role type
Inpatient Care Manager (Registered Nurse)
Builds
Coordinated discharge plans, care transitions, and utilization management activities for hospital patients.
Domain
Healthcare / Hospital Case Management
Deliverable
client delivery
Required skills
Registered Nurse License, clinical nursing assessment, discharge planning, utilization management, regulatory compliance, care coordination, patient/family collaboration, community resource navigation, Medicare/Managed Care knowledge, electronic health record navigation.
Preferred skills
Experience with Outcome Facilitation Teams, crisis management, family dynamics resolution.
Responsibilities
Conduct patient assessments and establish care plans; coordinate discharge planning and transitions; perform utilization review and concurrent/retrospective reviews; collaborate with physicians and social work to resolve discharge barriers; educate staff on admission criteria and UM issues; manage denial activity and payer communications.
Seniority
Mid-level, hands-on IC