Care Manager RN: Discharge & Transitions Lead

Physicians Regional Healthcare System; Naples (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Physicians Regional Healthcare System in Naples, FL seeks 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 ensure compliance with standards.

You will develop discharge plans, coordinate post-hospital placement, and maintain documentation in EMR while ensuring timely interventions and effective communication across teams.

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.
• 2–4 years of care management experience preferred.

Responsibilities

• Conduct daily reviews of medical records to assess admission and continued hospital stay.
• Collaborate with interdisciplinary teams to coordinate patient care and identify avoidable days.
• Develop and implement discharge plans and coordinate post-hospital placement.
• Refer cases to physicians or managers when criteria are not met.
• Serve as liaison with community agencies to facilitate transitions.
• Lead interdisciplinary meetings to support care planning.
• Maintain accurate documentation of case management activities in EMR.
• Assist patients, families, and physicians with discharge planning and post-hospital care options.
• Perform other duties as assigned.
• Maintain regular attendance and comply with policies.

Skills

Case management

Discharge planning

Transitions of care

EMR documentation

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Tools

EMR

Job description

Physicians Regional Healthcare System in Naples, FL seeks 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 ensure compliance with standards.

You will develop discharge plans, coordinate post-hospital placement, and maintain documentation in EMR while ensuring timely interventions and effective communication across teams.