RN Care Transitions & Discharge Navigator

Carle; Peoria (IL); Hybrid; USD 50,000 - 80,000; Full time

Benefits offered by this job

Health insurance

Job summary

Carle Health is seeking a Registered Nurse case manager to oversee the clinical and financial outcomes of acute illness requiring hospitalization. You will ensure proactive initial assessment, ongoing evaluations, and timely discharge planning to support safe transitions from the hospital to appropriate post-acute care.

Role emphasizes utilization review, multidisciplinary collaboration, and proactive post-discharge planning to optimize patient outcomes and reduce readmissions, while supporting

Qualifications

• Licensed Registered Nurse (RN) in Illinois (IDFPR).
• Bachelor's Degree in nursing or related field.

Responsibilities

• Act as a liaison with patient/family and physician to determine next level of care.
• Coordinate transition from inpatient to post-hospital care with physicians and referrals.
• Document plan of care and utilization issues in appropriate systems.
• Evaluate plan of care and collaborate with physicians to reduce readmission risk.
• Initiate post-acute planning and coordinate with social work and providers.
• Participate in multidisciplinary rounds and coordinate referrals.
• Manage assessment, planning, monitoring, and evaluation of care.

Skills

Case management

Care coordination

Clinical assessment

Interdisciplinary collaboration

Education

Bachelor's Degree

Job description

Carle Health is seeking a Registered Nurse case manager to oversee the clinical and financial outcomes of acute illness requiring hospitalization. You will ensure proactive initial assessment, ongoing evaluations, and timely discharge planning to support safe transitions from the hospital to appropriate post-acute care.

Role emphasizes utilization review, multidisciplinary collaboration, and proactive post-discharge planning to optimize patient outcomes and reduce readmissions, while supporting