Case Manager

Green Key Resources; Village of Spring Valley (NY); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Green Key Resources is seeking a Transitions of Care, RN Care Manager to help patients move from hospitals and acute care facilities back to home and community settings in a hybrid role.

This position coordinates hospital discharges, post-acute care, and follow-up with care teams, facilities, and home care services to ensure safe, timely transitions and continuity of care for our members.

Qualifications

• Experience with discharge planning and transitions of care.
• Strong understanding of the hospital discharge process and post-acute care coordination.
• Experience working with hospitals, rehabilitation facilities, skilled nursing facilities, and/or home care.
• Excellent communication, organization, and care coordination skills.

Responsibilities

• Coordinate transitions between hospitals, acute care facilities, rehabilitation centers, nursing homes, and home.
• Collaborate with admitting and receiving facilities to ensure safe and effective discharge planning.
• Coordinate hospitalizations, rehab and nursing home admissions, discharges, and follow-up tracking.
• Participate in case conferences with care managers, providers, and interdisciplinary teams.
• Connect members with medical providers and community-based services.
• Coordinate with home care teams to ensure services are established and ongoing coverage.
• Follow up on identified needs and respond to issues requiring attention.
• Maintain accurate and timely documentation throughout the transition of care process.

Skills

Discharge planning

Care coordination

Hospital discharge process

Interdisciplinary teams

Communication

Job description

Well-established Managed Care company is seeking a Transitions of Care, RN Care Manager to help patients successfully transition from hospitals and acute care facilities back to their homes and communities.

This is a hybrid opportunity, with 3 days in the office and 2 days working from home.

What You'll Do:

• Coordinate transitions between hospitals, acute care facilities, rehabilitation centers, nursing homes, and home
• Collaborate with admitting and receiving facilities to ensure safe and effective discharge planning
• Coordinate hospitalizations, rehab and nursing home admissions, discharges, and follow-up tracking
• Participate in case conferences with care managers, providers, and interdisciplinary teams
• Connect members with medical providers and community-based services
• Coordinate with home care teams to ensure services are established and ongoing coverage is in place
• Follow up on identified needs and respond to issues requiring attention
• Maintain accurate and timely documentation throughout the transition of care process

What We're Looking For:

• Experience with discharge planning and transitions of care
• Strong understanding of the hospital discharge process and post-acute care coordination
• Experience working with hospitals, rehabilitation facilities, skilled nursing facilities, and/or home care
• Excellent communication, organization, and care coordination skills