RN Care Transitions Lead - Discharge & Post-Acute Planning

Carle Health; Peoria (IL); On-site; USD 49,000 - 80,000; Full time

Job summary

Carle Health in Peoria, IL seeks a Registered Nurse Case Manager to oversee the clinical and financial outcomes of acute illness requiring hospitalization. You will coordinate proactive assessments, discharge planning, and timely transitions to the appropriate level of care, guiding patients and families through the care continuum.

Responsibilities include collaborating with physicians and the care team, documenting plans in the case management system, evaluating outcomes, and reducing

Qualifications

• Licensed RN with Illinois IDFPR.
• Bachelor's degree required.
• Experience in discharge planning and care coordination.

Responsibilities

• Act as liaison with patient/family and physician to determine next level of care.
• Coordinate transition from inpatient to post-hospital care with referrals.
• Document plan of care and utilization issues in required systems.
• Evaluate plan of care and collaborate to reduce readmission risk.
• Initiate pre-hospital, in-hospital, and post-hospital interventions.
• Participate in multidisciplinary rounds and arrange patient conferences.

Skills

RN licensure

Care coordination

Discharge planning

Patient assessment

Education

Bachelor's Degree

Tools

Case management software

Job description

Carle Health in Peoria, IL seeks a Registered Nurse Case Manager to oversee the clinical and financial outcomes of acute illness requiring hospitalization. You will coordinate proactive assessments, discharge planning, and timely transitions to the appropriate level of care, guiding patients and families through the care continuum.

Responsibilities include collaborating with physicians and the care team, documenting plans in the case management system, evaluating outcomes, and reducing