RN Care Manager: Discharge & Transitions Lead

Lutheran Health Network; Fort Wayne (IN); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Medical/Dental/Vision

Sign On Bonus

401K Match

Student Loan Repayment

Tuition Reimbursement

PTO/EIB

Job summary

The Care Manager - RN at Lutheran Health Network coordinates discharge planning, transitions of care, and case management to ensure optimal patient outcomes. This role reviews medical records for appropriateness, collaborates with interdisciplinary teams, and ensures compliance with federal, state, and accreditation standards.

Qualified candidates will have an Associate Degree in Nursing, preferably a BSN, with 2-4 years of hospital or home health experience and ACM/ CCM credentials preferred.

Qualifications

• Associate Degree in Nursing is required.
• BSN preferred.
• 2-4 years of clinical nursing experience in hospital/home health/nursing home setting required.
• 2-4 years of care management experience preferred.

Responsibilities

• Conduct daily reviews of medical records to assess admission and continued hospital stay.
• Collaborate with IDT to coordinate patient care and avoid avoidable days.
• Develop and implement discharge plans and post-hospital placement.
• Refer cases to physicians or managers when criteria are not met.
• Serve as liaison with community agencies to facilitate transitions.
• Lead interdisciplinary meetings to address patient needs and care planning.
• Maintain documentation of case management activities and compliance.
• Assist patients, families, and physicians with discharge options.
• Perform other duties as assigned.

Skills

Case management

Discharge planning

Communication skills

EMR proficiency

Time management

Education

Associate Degree in Nursing (ADN)

Bachelor's Degree in Nursing (BSN) preferred

Tools

EMR systems

Job description

The Care Manager - RN at Lutheran Health Network coordinates discharge planning, transitions of care, and case management to ensure optimal patient outcomes. This role reviews medical records for appropriateness, collaborates with interdisciplinary teams, and ensures compliance with federal, state, and accreditation standards.

Qualified candidates will have an Associate Degree in Nursing, preferably a BSN, with 2-4 years of hospital or home health experience and ACM/ CCM credentials preferred.