Care Manager RN: Discharge & Transitions Specialist

Physicians Regional Healthcare System; Naples (FL); On-site; USD 40,000 - 75,000; Part time

Job summary

Physicians Regional Healthcare System in Naples, FL is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities to optimize patient outcomes.

The role requires collaboration with interdisciplinary teams, review of medical records for appropriateness, and compliance with federal, state, and accreditation standards. Strong communication and EMR documentation skills are essential to succeed in this role.

Qualifications

• Associate degree in nursing required.
• Bachelor’s degree in nursing preferred.
• 2–4 years clinical nursing experience in 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 and continued hospital stay.
• Collaborate with interdisciplinary teams to coordinate patient care and identify avoidable days.
• Develop and implement discharge plans, coordinating post-hospital placement and social services.
• Refer cases to physicians or managers when criteria are not met and interventions are needed.
• Serve as liaison with community agencies to facilitate transitions for discharged patients.
• Lead interdisciplinary meetings to address patient care needs and care planning.
• Maintain accurate documentation of case management activities and referrals.
• Assist patients, families, and physicians with discharge planning and post-hospital care options.

Skills

Case management

Discharge planning

Transitions of care

EMR proficiency

Communication

Organization

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Tools

EMR

Job description

Physicians Regional Healthcare System in Naples, FL is seeking a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities to optimize patient outcomes.

The role requires collaboration with interdisciplinary teams, review of medical records for appropriateness, and compliance with federal, state, and accreditation standards. Strong communication and EMR documentation skills are essential to succeed in this role.