RN Case Manager: Discharge & Care Transitions Lead

Community Health Systems, Inc.; La Follette (TN); On-site; USD 70,000 - 90,000; Full time

Job summary

Community Health Systems, Inc. is seeking a Care Manager - RN responsible for coordinating discharge planning, transitions of care, and overall case management to ensure optimal patient outcomes.

The role involves collaboration with interdisciplinary teams, review of medical records for appropriateness, and adherence to standards and regulations. The RN will develop discharge plans, coordinate post-hospital placement, and serve as a liaison with community resources.

Qualifications

• Associate degree in nursing required.
• 2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required.
• 2-4 years of care management experience preferred.
• RN state licensure required or Compact state licensure.
• ACM or CCM preferred.

Responsibilities

• Conduct daily reviews of medical records to assess admission and continued stay appropriateness.
• Collaborate with IDT to coordinate patient care and resolve care transition issues.
• Develop and implement discharge plans and coordinate post-hospital placement and social services.
• Refer cases to physicians or managers when criteria are not met for timely interventions.
• Serve as liaison with community agencies to facilitate transitions for discharged patients.
• Lead interdisciplinary meetings to address patient care needs and care planning.
• Document case management activities accurately and timely, including referrals and interactions.
• Assist patients, families, and physicians with discharge planning and post-hospital care options.

Skills

Case management

Discharge planning

Transitions of care

Communication skills

EMR proficiency

Time management

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing

Job description

Community Health Systems, Inc. is seeking a Care Manager - RN responsible for coordinating discharge planning, transitions of care, and overall case management to ensure optimal patient outcomes.

The role involves collaboration with interdisciplinary teams, review of medical records for appropriateness, and adherence to standards and regulations. The RN will develop discharge plans, coordinate post-hospital placement, and serve as a liaison with community resources.