RN Care Manager: Discharge & Transitions Leader

Physicians Regional Healthcare System; Naples (FL); On-site; USD 85,000 - 110,000; 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 activities, ensuring optimal patient outcomes. The role involves collaborating with interdisciplinary teams, reviewing records for medical necessity, and maintaining compliance with standards.

You will serve as a liaison with patients and families and support seamless transitions from hospital to post-acute care, with emphasis on thorough

Qualifications

• Associates 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 appropriateness, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams 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 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 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.

Skills

Case management

Discharge planning

Communication

EMR systems

Time management

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Job description

Physicians Regional Healthcare System in Naples, FL seeks a Care Manager - RN to coordinate discharge planning, transitions of care, and case management activities, ensuring optimal patient outcomes. The role involves collaborating with interdisciplinary teams, reviewing records for medical necessity, and maintaining compliance with standards.

You will serve as a liaison with patients and families and support seamless transitions from hospital to post-acute care, with emphasis on thorough