Care Transition Navigator - Case Manager

101 Southeast Health; United States; On-site; USD 60,000 - 90,000; Part time

Job summary

Southeast Health is seeking a Case Manager to oversee case management and discharge planning in an acute care setting. You will link patients with the healthcare team, coordinate post-acute providers, and ensure quality outcomes and patient satisfaction.

The role requires collaboration with medical staff, nursing, and families to assess risk, develop care plans, and monitor progress, including readmission assessments within 30 days of discharge.

Qualifications

• Must hold Alabama RN or Social Work license.
• Clinical knowledge of case management and post-acute care.
• Two years acute care or transition-of-care experience.
• Bachelor-level education is preferred for advancement.

Responsibilities

• Assess patients for post-acute care needs.
• Develop post-acute care plans aligned with patient goals.
• Coordinate with medical staff, patients and families.
• Implement discharge plans and evaluate outcomes.
• Monitor readmissions and adjust care plans within 30 days.

Skills

Clinical knowledge

Multidisciplinary teamwork

Communication skills

Discharge planning

Education

Associate in Nursing

Bachelor's in Social Work

BSN

MSW

Tools

EMR software

Symplr

Job description

Southeast Health is seeking a Case Manager to oversee case management and discharge planning in an acute care setting. You will link patients with the healthcare team, coordinate post-acute providers, and ensure quality outcomes and patient satisfaction.

The role requires collaboration with medical staff, nursing, and families to assess risk, develop care plans, and monitor progress, including readmission assessments within 30 days of discharge.