Inpatient RN Case Manager: Discharge & Care Coordination

University of Virginia; Charlottesville (VA); On-site; USD 81,000 - 110,000; Full time

Benefits offered by this job

Medical insurance (Health)

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Savings

Disability (short/long-term)

Health Savings Plan

Flexible Spending Accounts

Certification and Education Support

Job summary

University of Virginia Health in Charlottesville is seeking an experienced Inpatient RN Case Manager to guide patients through complex care journeys from admission to discharge. You will combine bedside expertise with care coordination to optimize transitions, patient flow, and outcomes, collaborating across disciplines to ensure safe discharge strategies.

In this role you will perform initial assessments, participate in interdisciplinary rounds, coordinate post-acute referrals, and document in

Qualifications

• Graduate of accredited nursing program; BSN required within 5 years of hire or transfer into Case Management.
• Minimum 2 years of relevant nursing experience.
• Licensed to practice as a Registered Nurse in Virginia.

Responsibilities

• Complete initial assessments on newly admitted patients identifying clinical needs and discharge barriers.
• Participate in interdisciplinary rounds contributing to real-time care planning and decision-making.
• Coordinate post-acute care referrals including rehabilitation, home health, and community services.
• Collaborate with physicians, nursing teams, and staff to align treatment plans with discharge strategies.
• Document care coordination efforts accurately within EPIC to support continuity and compliance.

Skills

Case management

Care coordination

Clinical assessment

Communication

Discharge planning

EPIC documentation

Education

BSN

Virginia RN licensure

Tools

EPIC

Job description

University of Virginia Health in Charlottesville is seeking an experienced Inpatient RN Case Manager to guide patients through complex care journeys from admission to discharge. You will combine bedside expertise with care coordination to optimize transitions, patient flow, and outcomes, collaborating across disciplines to ensure safe discharge strategies.

In this role you will perform initial assessments, participate in interdisciplinary rounds, coordinate post-acute referrals, and document in