Onsite PRN RN Care Manager — Integrated Care & Discharge

McLaren Health Care; Pontiac (MI); On-site; USD 75,000 - 110,000; Part time

Job summary

McLaren Health Care is seeking an RN Care Manager for Integrated Care Management at our onsite location. The role focuses on proactive care coordination and timely transitions across the care continuum to optimize LOS and reduce readmissions.

Responsibilities include initial assessments, discharge planning, and collaboration with physicians, social workers, and care teams. Requires RN licensure, a nursing degree, and ACM/CCM/BLS certifications as applicable.

Qualifications

• State licensure as a Registered Nurse (RN) is required.
• Bachelor’s degree in nursing from an accredited institution, or pursuing degree within five years.
• Three years of acute hospital care experience.
• American Case Management Certification (ACM) or equivalent certification as defined by ACM/CCM guidelines.
• Basic Life Support (BLS) certification as Healthcare Provider by AHA, Red Cross, or MTN.

Responsibilities

• Performs care coordination assessments within 24 hours of admission and for readmission and transition planning.
• Collaborates with social workers and other disciplines to ensure safe, timely transitions to the next level of care.
• Assesses patient/family needs to reduce barriers and formulate discharge plans.
• Identifies LOC orders and communicates with utilization management to obtain orders.
• Reviews DRG/LOS to assess discharge planning needs and identify the point of contact for family.
• Assesses readmission risk and implements interventions to improve transitions.
• Performs discharge planning coordination/referral to social services and post-acute providers.
• Acts as a liaison with physicians, patients, families, nursing, and the healthcare team.
• Participates in clinical case review/rounds with the interdisciplinary team.
• Documents assessments, plans, interventions, barriers, and reassessments in EMR and manages discharge timing.
• Identifies barriers early and coordinates with payers and community resources.

Skills

RN licensure

BLS certification

Education

Bachelor’s degree in nursing

ACM certification

CCM certification

Job description

McLaren Health Care is seeking an RN Care Manager for Integrated Care Management at our onsite location. The role focuses on proactive care coordination and timely transitions across the care continuum to optimize LOS and reduce readmissions.

Responsibilities include initial assessments, discharge planning, and collaboration with physicians, social workers, and care teams. Requires RN licensure, a nursing degree, and ACM/CCM/BLS certifications as applicable.