RN Care Transitions Specialist

Carle Health; Peoria (IL); Hybrid; USD 75,000 - 121,000; Full time

Job summary

Carle Health is seeking a Nurse Case Manager to oversee the clinical and financial outcomes during hospitalization, ensuring early assessments, ongoing evaluations, and timely discharge planning. You will coordinate transitions from acute care to post-hospital settings, using five-case-management components: assessment, coordination, monitoring, implementation, and evaluation.

You will collaborate with physicians, social workers, and other care team members to optimize patient outcomes, reduce

Qualifications

• Licensed Registered Nurse (RN) in IL (IDFPR).
• Bachelor's degree required.

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 case management systems.
• Assess post-discharge needs within 24-48 hours of admission and throughout the stay.
• Engage in multidisciplinary rounds and coordinate with social work and care teams.

Skills

RN license

Education

Bachelor's Degree

Job description

Carle Health is seeking a Nurse Case Manager to oversee the clinical and financial outcomes during hospitalization, ensuring early assessments, ongoing evaluations, and timely discharge planning. You will coordinate transitions from acute care to post-hospital settings, using five-case-management components: assessment, coordination, monitoring, implementation, and evaluation.

You will collaborate with physicians, social workers, and other care team members to optimize patient outcomes, reduce