Care Management Registered Nurse / RN

Job description

Description The RN Care Manager (RN CM) is responsible for patient care coordination from admission through discharge; ensuring smooth transitions of care as the patient is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating and advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to care coordination/discharge planning in an effort to foster efficient care delivery and maximize reimbursement. The RN CM will begin the process of care coordination at the time of the patients admission by completing a thorough admission assessment and/or psychosocial assessment which will allow for a timely and accurate capture of information as well as foster the ability to begin working towards a discharge plan. The RN CM is an integral part of the interdisciplinary care team who is required to attend rounds, care conferences, and/or care team meetings. The RN CM will act as a representative of both the hospital care team and the patient/family in an effort to balance patient/family choice and projected care coo...