RN Care Manager (PRN) – Discharge & Transitions

Community Health Systems, Inc.; Birmingham (AL); On-site; USD 65,000 - 85,000; Full time

Job summary

The Care Manager - RN at Community Health Systems, Inc. coordinates discharge planning, transitions of care, and case management to achieve optimal patient outcomes.

You will review medical records, collaborate with interdisciplinary teams, and ensure compliance with federal, state, and accreditation standards. You will develop and implement discharge plans, coordinate post-hospital placement, and maintain accurate documentation of referrals and patient interactions.

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.

Responsibilities

• Conducts daily reviews of medical records to assess appropriateness of admission, continued hospital stay, and utilization of diagnostic services.
• Collaborates with interdisciplinary teams to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.
• 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, including records of referrals and patient interactions.
• Provides assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.

Skills

Case management

Discharge planning

Transitions of care

Communication

EMR documentation

Time management

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Job description

The Care Manager - RN at Community Health Systems, Inc. coordinates discharge planning, transitions of care, and case management to achieve optimal patient outcomes.

You will review medical records, collaborate with interdisciplinary teams, and ensure compliance with federal, state, and accreditation standards. You will develop and implement discharge plans, coordinate post-hospital placement, and maintain accurate documentation of referrals and patient interactions.