Complex Care Manager RN: Discharge & Transitions Lead

Advocate Health; Milwaukee (WI); On-site; USD 80,000 - 110,000; Full time

Job summary

Advocate Health in Milwaukee, WI seeks an experienced nurse care manager to lead discharge planning for clinically complex patients and coordinate comprehensive care transitions. The role emphasizes patient advocacy, regulatory compliance, and collaboration with multidisciplinary teams.

The position requires a nursing license and a Bachelor’s degree, with several years of care management experience and certifications pursued within 2 years.

Qualifications

• Ability to prioritize and organize work.
• Effective communication skills.
• Utilization of critical thinking and timely decision making.
• Knowledge of electronic health record navigation.
• Basic MS Office proficiency.
• Knowledge of Medicare A and B guidelines.
• Knowledge of managed care program requirements/implications.
• Ability to apply elements of utilization management programs.

Responsibilities

• Perform thorough patient assessments for clinically complex discharges.
• Aggregate and report data on patient outcomes and resource use.
• Provide continuity of care and discharge planning for complex patients.
• Mentor frontline care management team to improve care quality.
• Advocate for patients to meet needs within regulatory guidelines.
• Coordinate internal/external referrals for timely care transitions.
• Lead multidisciplinary rounds to resolve discharge barriers.
• Communicate effectively with care teams to ensure safe plans of care.
• Deliver CMS regulatory notices within CMS established timeframes.

Skills

Critical thinking

Communication skills

EHR navigation

MS Office basics

Medicare guidelines knowledge

Utilization management

Education

Bachelor’s degree in nursing

Job description

Advocate Health in Milwaukee, WI seeks an experienced nurse care manager to lead discharge planning for clinically complex patients and coordinate comprehensive care transitions. The role emphasizes patient advocacy, regulatory compliance, and collaboration with multidisciplinary teams.

The position requires a nursing license and a Bachelor’s degree, with several years of care management experience and certifications pursued within 2 years.