Care Manager RN: Discharge & Transitions Leader

Community Health Systems; Naples (FL); On-site; USD 55,000 - 85,000; Part time

Job summary

Community Health Systems in Naples, FL seeks a Care Manager - RN to coordinate discharge planning and transitions of care, aligning with interdisciplinary teams to ensure optimal patient outcomes. You will review records for medical necessity and maintain compliance with standards, while guiding post-hospital care and social services.

The role requires RN licensure, 2–4 years of clinical nursing and care management experience; Associates is required and a Bachelor's is preferred.

Qualifications

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

Responsibilities

• Conduct daily reviews of medical records to assess admission and continued stay.
• Collaborate with IDT to coordinate patient care and resolve care transition issues.
• Develop and implement discharge plans, coordinating post-hospital placement and services.
• Refer cases when criteria are not met, ensuring timely interventions.
• Liaise with community agencies to facilitate seamless transitions for discharged patients.
• Facilitate interdisciplinary meetings to address patient care needs.
• Maintain accurate documentation of case management activities and referrals.
• Assist patients, families, and physicians with discharge planning and post-hospital care options.
• Perform other duties as assigned and maintain regular attendance.
• Comply with all policies and standards.

Skills

case management

discharge planning

transitions of care

communication

EMR documentation

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Job description

Community Health Systems in Naples, FL seeks a Care Manager - RN to coordinate discharge planning and transitions of care, aligning with interdisciplinary teams to ensure optimal patient outcomes. You will review records for medical necessity and maintain compliance with standards, while guiding post-hospital care and social services.

The role requires RN licensure, 2–4 years of clinical nursing and care management experience; Associates is required and a Bachelor's is preferred.