Case Manager Discharge Planning RN

Job Description Summary

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The Case Manager is responsible for proactive Acute/Post Acute care coordination and discharge planning, partnering with hospital and post-acute care management teams to ensure safe, timely, and efficient transitions of care.
The Case Manager operates within a structured model alongside utilization management and post-acute services with defined outreach cadences, escalation pathways, and collaboration across interdisciplinary teams.

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How will you make an impact & Requirements

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• Proactively manage inpatient, observation and post-acute cases with a focus on high‑risk and readmission‑prone populations.
• Partners with hospital/post-acute Case Managers and Discharge Planners to align on clinical status, discharge plans, and barriers to timely discharge.
• Coordinate post-acute services, including Home Health, DME, SND, IRF, LRACH and subacute care, in collaboration with Care Coordinators and post-acute teams.
• Conduct ongoing outreach to hospital and post-acute teams to support discharge progression and resolve barriers.

• Perform clinical reviews to assess medical necessity and discharge readiness; facilitate escalation and peer‑to‑peer discussions as needed.
• Participate in interdisciplinary rounds and contribute to case reviews focused on discharge efficiency and length‑of‑stay management.
• Serve as a liaison between hospital systems, health plan partners, and post‑acute providers.

Qualifications
Required:

• BA/BS in a related field
• Requires current active unrestricted RN license in applicable state(s).
• 3+ years of experience in:
• Acute care
• Care management
• Discharge planning or utilization management
• Strong knowledge of post-acute care continuum and payer requirements

Preferred:

• Case Management certification (CCM, ACM)
• Experience working with high-risk populations and readmission reduction programs
• Experience in managed care or health plan environment

Core Competencies

• Advanced care coordination and discharge planning
• Clinical assessment and critical thinking
• Communication and relationship management
• Emotional intelligence and professionalism
• Problem-solving and escalation management
• Ability to work in fast-paced, matrixed environments

Working Environment

• Potentially Hybrid role interacting with hospital teams, health plan partners, and post-acute providers
• Requires frequent communication, case tracking, and real-time coordination across multiple stakeholders
• Potential for weekend/evening coverage

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Compensation:

$38.97

to

$58.47