RN Care Manager: Discharge & Transitions Lead

Physicians Regional Healthcare System; Naples (FL); On-site; USD 68,000 - 90,000; Full time

Job summary

Physicians Regional Healthcare System in Naples, FL seeks a Care Manager - RN to coordinate discharge planning, transitions of care, and case management to optimize patient outcomes. This role collaborates with interdisciplinary teams to review records for medical necessity and ensure compliance with federal, state, and accreditation standards.

The position requires strong communication, EMR proficiency, and excellent organizational skills to support timely referrals and post-hospital planning.

Qualifications

• Strong understanding of case management principles, discharge planning, and transitions of care.
• Knowledge of federal, state, and Joint Commission standards related to case management.
• Excellent communication and interpersonal skills to collaborate with patients, families, and interdisciplinary teams.
• Ability to assess complex situations, identify solutions, and implement care plans efficiently.
• Proficiency in electronic medical records (EMR) and documentation systems.
• Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Responsibilities

• Coordinates discharge planning and transitions of care to ensure optimal patient outcomes.
• Reviews medical records for appropriateness and medical necessity.
• Collaborates with interdisciplinary teams (IDT) for effective care coordination.
• Develops and implements discharge plans and post-hospital arrangements.
• Liaises with physicians, managers, and community agencies as needed for timely interventions.
• Maintains accurate documentation of case management activities and compliance with reporting requirements.
• Assists patients, families, and physicians with discharge planning and post-hospital care options.

Skills

Case management

Discharge planning

Transitions of care

EMR documentation

Communication skills

Time management

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Tools

EMR systems

Job description

Physicians Regional Healthcare System in Naples, FL seeks a Care Manager - RN to coordinate discharge planning, transitions of care, and case management to optimize patient outcomes. This role collaborates with interdisciplinary teams to review records for medical necessity and ensure compliance with federal, state, and accreditation standards.

The position requires strong communication, EMR proficiency, and excellent organizational skills to support timely referrals and post-hospital planning.