RN Case Manager: Transitional Care & Discharge Planner

Whittier Health Network; Bradford (MA); On-site; USD 95,000 - 107,000; Full time

Benefits offered by this job

401(k)

Paid vacation, sick and holiday

Dental insurance

Medical insurance

Vision insurance

Health Savings account

Flexible spending accounts

Life insurance and Disability policies

Hospital, Critical Illness, Accident</

policies

Job summary

Whittier Rehabilitation Hospital is seeking an experienced Case Manager (RN preferred) to oversee case management for patients in the 20-bed Transitional Care Unit. This role reports to the hospital Case Management team and focuses on discharge planning and coordination from admission to discharge.

The selected candidate will collaborate with the interdisciplinary team, explain rehabilitation processes to patients and families, and ensure timely, safe transitions to the next level of care in

Qualifications

• Must be a licensed RN in Massachusetts.
• 2–5 years acute case management experience in SNF preferred.
• Excellent communication and organizational skills.
• Ability to assess, analyze, plan, implement and evaluate plan of care.

Responsibilities

• Oversee and coordinate each patient's TCU stay from admission through discharge.
• Collaborate with interdisciplinary care team to set goals and address discharge barriers.
• Inform patients and families about rehabilitation processes, levels of care, and patient rights/responsibilities.
• Adhere to CMS guidelines and Managed Care expectations; advocate for patients when possible.
• Provide resources for next level of care (skilled facilities, home health agencies, etc.).
• Maintain ongoing contact regarding patient progress and discharge planning to ensure safe, timely discharge.

Skills

RN license MA

Case management

Discharge planning

Communication

Job description

Whittier Rehabilitation Hospital is seeking an experienced Case Manager (RN preferred) to oversee case management for patients in the 20-bed Transitional Care Unit. This role reports to the hospital Case Management team and focuses on discharge planning and coordination from admission to discharge.

The selected candidate will collaborate with the interdisciplinary team, explain rehabilitation processes to patients and families, and ensure timely, safe transitions to the next level of care in