Inpatient RN Care Manager: Discharge & Care Coordination

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

Job summary

Advocate Health seeks an experienced Registered Nurse for Inpatient Case Management at St. Luke’s in Milwaukee, WI. The RN will assess patients, coordinate care, plan discharges, and support utilization management within a quaternary acute care setting.

Responsibilities include care planning, transfers, CMS-compliant UM activities, and collaboration with Social Work and medical staff to ensure safe, timely discharges and optimal patient outcomes.

Qualifications

• RN license issued by the state where practice is required.
• Preferred: Bachelor’s Degree in Nursing.
• Minimum 2 years of clinical nursing experience.

Responsibilities

• Conduct comprehensive assessments and create timely care plans & interventions.
• Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences.
• Provide continuity of care and discharge planning aligned with regulatory standards.
• Coordinate smooth transfers and handoffs across units and settings.
• Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources.
• Initiate internal/external referrals; document discharge planning and UM activities accurately and on time.
• Perform concurrent/retrospective reviews using approved criteria.
• Partner closely with Social Work and support staff to implement safe, effective plans of care.
• Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes.
• Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance.
• Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes.
• Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health.
• Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements.
• Provide age-appropriate care per departmental standards.

Skills

Care coordination

Discharge planning

Education

Bachelor's degree in Nursing

Job description

Advocate Health seeks an experienced Registered Nurse for Inpatient Case Management at St. Luke’s in Milwaukee, WI. The RN will assess patients, coordinate care, plan discharges, and support utilization management within a quaternary acute care setting.

Responsibilities include care planning, transfers, CMS-compliant UM activities, and collaboration with Social Work and medical staff to ensure safe, timely discharges and optimal patient outcomes.