Nurse Case Manager: Inpatient Discharge & Care Coordination

Nemours; Delaware; On-site; USD 90,000 - 120,000; Full time

Job summary

Nemours is seeking a Nurse Case Manager to coordinate inpatient and Emergency Department care. The NCM will assess, plan, implement and evaluate patient care, focusing on timely discharge, post-discharge connections, and reducing readmissions.

Collaboration with the interdisciplinary team and families will drive outcomes and patient satisfaction. The ideal candidate holds an Associate degree in nursing with an active RN license, and has 5+ years in case management or utilization management, with

Qualifications

• Active RN license in the applicable state(s).
• Associate degree in nursing is required; BSN preferred.
• Minimum of five years of progressive clinical experience including utilization/case management.

Responsibilities

• Assess inpatient and ED patients for discharge planning needs and post-acute services.
• Collaborate with providers and interdisciplinary team to develop patient-centered care and discharge plans with timelines.
• Monitor progression and barriers to discharge; escalate as needed for appropriate resource use.
• Support medical necessity discussions and correct patient status with Utilization Management; assist with denials prevention.
• Identify patients at risk for unsafe transitions; coordinate follow-up care and appointments.
• Communicate with patients and families to address barriers and adapt plans as clinical status changes.
• Educate patients and families on discharge needs, medications, and supplies; document education.
• Coordinate referrals to internal and community resources for discharge needs (home health, DME, transportation).
• Coordinate transitions of care with outside teams, including discharge to home or SNF.

Skills

Active RN license

Case management experience

Strong discharge planning

Education

Associate degree in nursing

BSN preferred

Tools

Certification in case management

Job description

Nemours is seeking a Nurse Case Manager to coordinate inpatient and Emergency Department care. The NCM will assess, plan, implement and evaluate patient care, focusing on timely discharge, post-discharge connections, and reducing readmissions.

Collaboration with the interdisciplinary team and families will drive outcomes and patient satisfaction. The ideal candidate holds an Associate degree in nursing with an active RN license, and has 5+ years in case management or utilization management, with