RN Care Manager: Discharge & Care Coordination

St. Luke's University Health Network; Sellersville (Bucks County); Sur place; USD 65 000 - 90 000; Plein temps

Résumé du poste

St. Luke’s University Health Network seeks a Social Worker or Registered Nurse Care Manager to coordinate discharge planning and provide psycho-social assessment across the care continuum.

You will work with a multi-disciplinary team to ensure safe, timely discharges and optimal patient outcomes. Responsibilities include developing discharge plans, communicating with patients and families, reducing readmissions, and documenting care using electronic health records.

Qualifications

• MSW or an RN with current PA/NJ licensure.
• License requirements depend on campus assignment (RN or MSW track).
• Experience in acute hospital or care management preferred.

Responsabilités

• Develops discharge plans addressing psycho-social needs for next steps.
• Collaborates with patients, families and care teams to tailor plans.
• Coordinates with RN care managers and other care team members.
• Communicates discharge status to the team.
• Monitors readmission risk and updates plans.
• Documents all care activities in electronic health records.

Connaissances

Discharge planning

Care coordination

Regulatory compliance

Team collaboration

Palliative care options

Documentation

Psychosocial assessment

Formation

MSW degree

RN license (PA/NJ)

BSN/MSN preferred

Outils

Electronic Health Records (EHR)

Description du poste

St. Luke’s University Health Network seeks a Social Worker or Registered Nurse Care Manager to coordinate discharge planning and provide psycho-social assessment across the care continuum.

You will work with a multi-disciplinary team to ensure safe, timely discharges and optimal patient outcomes. Responsibilities include developing discharge plans, communicating with patients and families, reducing readmissions, and documenting care using electronic health records.