As a Case Manager focused on discharge planning, you will play a vital role in guiding patients through a seamless transition from hospital to home or post-acute care. By developing tailored discharge plans, educating patients and families, and coordinating access to resources, you will help ensure a smooth recovery process. Collaborating with a compassionate and skilled interdisciplinary team, you’ll make a meaningful impact by enhancing patient outcomes and reducing readmissions. As a RN Case Manager, you will: Develop and implement patient-specific discharge plans to ensure safe transitions from hospital to home or other care settings. Collaborate with patients, families, and the healthcare team to align discharge plans with clinical needs and patient preferences. Identify and coordinate access to appropriate post-acute care services, such as rehabilitation, skilled nursing facilities, home health services, or community-based resources. Provide guidance to patients and families on managing health conditions post-discharge, including medication management, follow-up care, and recognizing signs of complications. Work closely with physicians, nurses, therapists, social workers, and community partners to address barriers to a smooth discharge and ensure continuity of care. Proactively address factors contributing to readmissions by identifying high-risk patients, implementing preventative interventions, and ensuring robust follow-up care coordination.
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Job Type
Part-time
Career Level
Mid Level
Education Level
Associate degree