Care Manager RN — Discharge & Transitions Lead

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

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