RN Care Manager: Discharge & Transitions Lead

Lutheran Hospital of Indiana; Fort Wayne (IN); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Health Insurance (Medical, Dental, Vis

401(k) with matching

Student Loan Repayment: Up to $20,000

Job summary

Lutheran Hospital, part of Community Health Systems, Inc., is seeking a Registered Nurse Care Manager to coordinate discharge planning, transitions of care, and case management to ensure optimal patient outcomes. This full-time, days shift role requires collaboration with interdisciplinary teams and review of medical records for appropriateness and medical necessity.

Responsibilities include developing discharge plans, coordinating post-hospital services, and ensuring compliance with policies

Qualifications

• Associate Degree in Nursing required.
• Bachelor's Degree in Nursing preferred.
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required.
• 2-4 years of care management experience preferred.

Responsibilities

• Conducts daily reviews of medical records to assess admission, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care.
• Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.
• Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.
• Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.
• Facilitates interdisciplinary meetings to address patient care needs and support collaborative care planning.
• Maintains accurate and timely documentation of case management activities and compliance with reporting requirements.
• Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.
• Performs other duties as assigned.

Skills

Case management

Discharge planning

Transitions of care

Communication

EMR proficiency

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Tools

EMR systems

Job description

Lutheran Hospital, part of Community Health Systems, Inc., is seeking a Registered Nurse Care Manager to coordinate discharge planning, transitions of care, and case management to ensure optimal patient outcomes. This full-time, days shift role requires collaboration with interdisciplinary teams and review of medical records for appropriateness and medical necessity.

Responsibilities include developing discharge plans, coordinating post-hospital services, and ensuring compliance with policies