RN Care Transition Manager — Reduce Readmissions

Trinity Health; Muskegon (MI); On-site; USD 75,000 - 95,000; Full time

Job summary

Trinity Health in Grand Rapids, MI is seeking a CIN RN Care Manager to oversee high-risk member care while working daytime hours in a hospital-adjacent setting. The role involves assessment, planning, intervention, and documentation to minimize readmissions and ensure coordinated care across the continuum.

The ideal candidate holds a BSN with Michigan RN licensure and BLS, plus at least three years of acute care or case management experience.

Qualifications

• Graduation from an accredited BSN program.
• Current Michigan RN license.
• BLS certification.
• Valid Michigan driver's license.
• Three years acute care or case management experience.
• Preferred: two years utilization or HMO experience.

Responsibilities

• Keeps member/family or other customers informed and requests further assistance when needed.
• Acts as liaison between administration, members, physicians and other health care providers.
• Performs a Health Risk Assessment (HRA) and determines acuity for follow-up.
• Develops and implements an outcome-based plan of care, with ongoing evaluation.
• Documents assessments, care plans and related information per charting standards.
• Initiates onsite hospital visits/rounds to assess progress and collaborate with the care team.

Skills

Case management

Utilization management

Acute care

BLS certification

Driver's license

RN licensure

Education

BSN degree

Michigan RN license

BLS certification

Job description

Trinity Health in Grand Rapids, MI is seeking a CIN RN Care Manager to oversee high-risk member care while working daytime hours in a hospital-adjacent setting. The role involves assessment, planning, intervention, and documentation to minimize readmissions and ensure coordinated care across the continuum.

The ideal candidate holds a BSN with Michigan RN licensure and BLS, plus at least three years of acute care or case management experience.