Case Manager

Well-established Managed Care company is seeking a Transitions of Care, RN Care Manager to help patients successfully transition from hospitals and acute care facilities back to their homes and communities. This is a hybrid opportunity , with 3 days in the office and 2 days working from home . What You'll Do: Coordinate transitions between hospitals, acute care facilities, rehabilitation centers, nursing homes, and home Collaborate with admitting and receiving facilities to ensure safe and effective discharge planning Coordinate hospitalizations, rehab and nursing home admissions, discharges, and follow-up tracking Participate in case conferences with care managers, providers, and interdisciplinary teams Connect members with medical providers and community-based services Coordinate with home care teams to ensure services are established and ongoing coverage is in place Follow up on identified needs and respond to issues requiring attention Maintain accurate and timely documentation throughout the transition of care process What We're Looking For: Experience with discharge planning and transitions of care Strong understanding of the hospital discharge process and post-acute care coordination Experience working with hospitals, rehabilitation facilities, skilled nursing facilities, and/or home care Excellent communication, organization, and care coordination skills #J-18808-Ljbffr