Care Manager RN — Discharge & Transitions Lead

Lutheran Health Network; Fort Wayne (IN); On-site; USD 70,000 - 90,000; Full time

Job summary

Lutheran Health Network is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities to achieve optimal patient outcomes.You will work with interdisciplinary teams, review medical records for appropriateness, and ensure compliance with federal, state, and accreditation standards.

Responsibilities include developing discharge plans, coordinating post-hospital placement, and serving as a liaison with community agencies to facilitate seamless

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

Responsibilities

• Conduct daily reviews of medical records to assess admission appropriateness, hospital stay, and utilization of services.
• Collaborate with interdisciplinary teams to ensure effective communication and coordination of care.
• Develop and implement discharge plans, coordinating post-hospital placement and social services.
• Refer cases to physicians or managers when criteria are not met.
• Serve as liaison with community agencies to facilitate transitions for discharged patients.
• Facilitate interdisciplinary meetings to address patient needs and support care planning.
• Maintain accurate documentation of case management activities and compliance with reporting requirements.
• Assist patients, families, and physicians with discharge planning and post-hospital care options.

Job description

Lutheran Health Network is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities to achieve optimal patient outcomes.You will work with interdisciplinary teams, review medical records for appropriateness, and ensure compliance with federal, state, and accreditation standards.

Responsibilities include developing discharge plans, coordinating post-hospital placement, and serving as a liaison with community agencies to facilitate seamless