Interim Registered Nurse Case Manager – Discharge Planning

Overview

• Coordinate and manage patient care from admission through discharge in a hospital setting.
• Conduct comprehensive assessments to identify clinical, psychosocial, and discharge planning needs.
• Develop and implement individualized care plans in collaboration with interdisciplinary teams.
• Lead discharge planning efforts, ensuring safe and cost-effective transitions of care.
• Collaborate with nursing, physicians, social work, and ancillary departments to optimize patient outcomes.
• Monitor patient progress and adjust care plans based on clinical status and resource needs.
• Facilitate utilization reviews to ensure compliance with payer guidelines and appropriate care levels.
• Coordinate post-acute services including home health, skilled nursing, and rehab resources.

Key Responsibilities & Duties

• Educate patients and families on care plans, treatment options, and post-discharge instructions.
• Advocate for patients to ensure access to appropriate services and continuity of care.
• Maintain accurate and timely documentation in accordance with hospital policies and standards.
• Participate in interdisciplinary rounds and contribute to care coordination strategies.
• Ensure compliance with CMS, Joint Commission, and hospital-specific case management standards.
• Collaborate with healthcare teams to optimize patient care and discharge outcomes.
• Monitor resource utilization to ensure cost-effective care delivery.
• Provide leadership in discharge planning and post-acute care coordination.

Job Requirements

• Active RN license in Colorado or Compact State required.
• Associate of Science (AS) in Nursing; BSN preferred but not mandatory.
• Case Management certification (e.g., CCM) preferred.
• Minimum 2 years of acute care or case management experience required.
• Strong knowledge of utilization review, discharge planning, and payer requirements.
• Ability to work on-site with a set schedule of Thursday to Monday.
• Proficiency in care coordination and interdisciplinary collaboration.
• Excellent communication and documentation skills in a healthcare setting.