Inpatient RN Care Manager: Care Transitions Lead

Live Well Homecare Agency, LLC; Concord (MO); On-site; USD 75,000 - 110,000; Full time

Job summary

Live Well Homecare Agency, LLC in Missouri is seeking an RN Care Manager to coordinate inpatient care and ensure safe transitions across the care continuum.

You will conduct nursing assessments, develop care plans, lead discharge planning, and educate patients and families while collaborating with the care team to optimize outcomes.

This role emphasizes strong documentation in the electronic health record and a commitment to continuous learning in team-based care.

Qualifications

• Active RN license and strong clinical assessment skills.
• Experience in care coordination across inpatient and post-acute settings.
• Proficient discharge planning and post-acute service coordination.
• Excellent communication with patients, families, and care teams.
• Accurate documentation in electronic health records.

Responsibilities

• Conduct comprehensive nursing assessments and create patient-centered care plans.
• Implement and monitor care plans with physicians, therapists, and social workers.
• Lead discharge planning and coordinate post-acute services.
• Educate patients and families to support understanding and continuity of care.
• Coordinate care to optimize outcomes and manage financial impacts.
• Maintain thorough documentation in the EHR.

Skills

RN licensure

Care coordination

Discharge planning

Interdisciplinary collaboration

Patient/family education

Documentation in EHR

Tools

Electronic Health Records (EHR)

Job description

Live Well Homecare Agency, LLC in Missouri is seeking an RN Care Manager to coordinate inpatient care and ensure safe transitions across the care continuum.

You will conduct nursing assessments, develop care plans, lead discharge planning, and educate patients and families while collaborating with the care team to optimize outcomes.

This role emphasizes strong documentation in the electronic health record and a commitment to continuous learning in team-based care.