Care Manager RN

Physicians Regional Medical Center - Pine Ridge; Naples (FL); On-site; USD 70,000 - 100,000; Full time

Job summary

Physicians Regional Medical Center - Pine Ridge is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management to optimize patient outcomes. You will review records, collaborate with IDT, and develop discharge plans while ensuring compliance with standards.

The role requires nursing licensure and relevant experience in hospital, home health, or nursing home settings, with emphasis on care management and patient/family support throughout the post-acute

Qualifications

• Associate Degree in Nursing is required.
• Bachelor's Degree in Nursing is preferred.
• 2-4 years of clinical nursing experience in hospital, home health, or nursing home setting required.
• 2-4 years of care management experience preferred.

Responsibilities

• Review daily medical records to assess admission and service utilization.
• Collaborate with IDT to coordinate care and resolve care transitions issues.
• Develop and implement discharge plans and coordinate post-hospital placement.
• Refer cases to physicians or managers when criteria aren’t met and ensure timely interventions.
• Serve as liaison with community agencies and facilitate seamless transitions for discharged patients.
• Document case management activities and ensure compliance with reporting requirements.
• Assist patients, families, and physicians with discharge planning and post-hospital options.
• Attend interdisciplinary meetings and maintain regular attendance and policy compliance.

Skills

Case management

Discharge planning

Transitions of care

Communication

EMR documentation

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Tools

EMR software

Job description

Job Summary

The Care Manager - 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

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services. Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues. Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs. Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions. Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients. Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning. Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements. Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards.

Qualifications

Associate Degree in Nursing required Bachelor's Degree in Nursing preferred 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required 2-4 years of care management experience preferred

Knowledge, Skills and Abilities

Strong understanding of case management principles, discharge planning, and transitions of care. Knowledge of federal, state, and Joint Commission standards related to case management. Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams. Ability to assess complex situations, identify solutions, and implement care plans efficiently. Proficiency in electronic medical records (EMR) and documentation systems. Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure state licensure in state of employment or Compact state licensure required Accredited Case Manager (ACM) preferred CCM - Certified Case Manager preferred BLS - Basic Life Support preferred