RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes.

This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards. Essential Functions\nConducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.\nCollaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.\nDevelops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.\nRefers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.\nServes as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.\nFacilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.\nMaintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.\nProvides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.\nPerforms other duties as assigned.\nMaintains regular and reliable attendance.\nComplies with all policies and standards.\nQualifications\nAssociate Degree in Nursing required\nBachelor's Degree in Nursing preferred\n2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required\n2-4 years of care management experience preferred\nKnowledge, Skills and Abilities\nStrong understanding of case management principles, discharge planning, and transitions of care.\nKnowledge of federal, state, and Joint Commission standards related to case management.\nExcellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.\nAbility to assess complex situations, identify solutions, and implement care plans efficiently.\nProficiency in electronic medical records (EMR) and documentation systems.\nStrong organizational and time management skills to prioritize tasks in a dynamic environment.\nLicenses and Certifications\nRN

Registered Nurse
State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required\nAccredited Case Manager (ACM) preferred\nCCM
Certified Case Manager preferred\nBLS
Basic Life Support preferred\nThis position is not eligible for immigration sponsorship now or in the future Applicants must be authorized to work in the U.

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