Interim Registered Nurse Case Manager – Discharge Planning

Overview

• Coordinate patient care to ensure optimal clinical outcomes and efficient resource utilization.
• Collaborate with interdisciplinary teams to develop individualized care plans.
• Promote safe, timely transitions of care across the continuum.
• Perform utilization review activities adhering to regulatory guidelines.
• Educate patients and families on care plans and post-acute services.
• Ensure compliance with accreditation standards and organizational policies.
• Support quality improvement initiatives and performance metrics.
• Maintain accurate documentation in the electronic medical record.
• Advocate for patient needs while balancing clinical quality and cost-effectiveness.

Key Responsibilities & Duties

• Assess, plan, implement, and evaluate patient care plans for effective delivery.
• Coordinate care across disciplines including physicians, nursing, and ancillary services.
• Facilitate admissions, transfers, and discharges ensuring appropriate care levels.
• Collaborate with leadership to address care progression and discharge barriers.
• Educate patients and families on treatment options and post-care services.
• Maintain compliance with state, federal, and accreditation standards.
• Participate in quality improvement initiatives and interdisciplinary care teams.
• Communicate effectively with physicians, nursing leadership, and external providers.
• Support a culture of patient-centered care aligned with organizational values.

Job Requirements

• Active California Registered Nurse (RN) license in good standing.
• Minimum 2 years of acute care nursing experience.
• Bachelor of Science in Nursing (BSN) required.
• Knowledge of case management principles and discharge planning.
• Strong clinical judgment, critical thinking, and organizational skills.
• Preferred certifications such as CCM, ACM, or CMAC.
• Experience with Medicare, Medi-Cal, and managed care populations preferred.
• Familiarity with InterQual or MCG guidelines is advantageous.
• Effective communication and interpersonal skills for patient advocacy.