RN Care Manager: Discharge & Care Coordination

Advocate Health; Milwaukee (WI); On-site; USD 79,000 - 119,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

Life insurance

Disability insurance

Paid time off

Retirement plans

Job summary

Advocate Health in Milwaukee, WI is seeking a Registered Nurse (RN) Inpatient Case Manager for St. Luke’s Medical Center. This full-time role (1.0 FTE) focuses on helping patients transition safely through hospital stays, coordinating services, planning discharges, and supporting utilization management.

Requirements include an RN license, preferred Bachelor’s in Nursing, and 2 years of clinical nursing experience. Schedule is M-F 08:00-16:30 with occasional weekends and one holiday per year.

Qualifications

• License/Registration/Certification: Registered Nurse License issued by the state in which the Team Member practices.
• Level of Education: preferred Bachelor’s Degree in Nursing
• Years of Experience: 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

Nursing

Discharge planning

Care coordination

Education

Bachelor’s degree in Nursing

Job description

Advocate Health in Milwaukee, WI is seeking a Registered Nurse (RN) Inpatient Case Manager for St. Luke’s Medical Center. This full-time role (1.0 FTE) focuses on helping patients transition safely through hospital stays, coordinating services, planning discharges, and supporting utilization management.

Requirements include an RN license, preferred Bachelor’s in Nursing, and 2 years of clinical nursing experience. Schedule is M-F 08:00-16:30 with occasional weekends and one holiday per year.