Care Transition Manager

CHRISTUS Health; Alexandria (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

CHRISTUS Health is seeking a Care Manager (PRN) to lead discharge planning and coordinate care across the care continuum. You will assess social, emotional, and financial factors affecting patients, collaborate with physicians and the multidisciplinary team, and help patients navigate post-acute options to ensure safe transitions.

The role emphasizes communication, patient advocacy, and efficient throughput to optimize length of stay.

Qualifications

• Education required: certificate/associate/bachelor’s in nursing or bachelor’s/master’s in social work.
• Experience in clinical or acute care setting preferred.
• Licenses: LVN/LPN, RN, LBSW, LMSW, or LCSW in state of employment.
• Excellent verbal and written communication; ability to interact with diverse populations.

Responsibilities

• Meets expectations of OneCHRISTUS Competencies: Leader of Self/Others/Leaders.
• Interviews patients/families about social, emotional, and financial factors affecting health and discharge planning.
• Develops and monitors the patient’s plan of care with CMII/CMIII; coordinates care progression.
• Collaborates with medical, nursing, and ancillary staff to remove barriers to efficient care delivery.
• Assesses discharge needs and options (rehabilitation, nursing facility, home health, hospice, legal matters, advance directives).
• Communicates with patient/family and care team; documents for continuity of care.
• Provides information and support to access community resources; ensures plan consensus with payors.

Job description

CHRISTUS Health is seeking a Care Manager (PRN) to lead discharge planning and coordinate care across the care continuum. You will assess social, emotional, and financial factors affecting patients, collaborate with physicians and the multidisciplinary team, and help patients navigate post-acute options to ensure safe transitions.

The role emphasizes communication, patient advocacy, and efficient throughput to optimize length of stay.