Case Manager Discharge Planning RN

Job Description Summary

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.

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, SNF, IRF, LTACH 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.

• BA/BS in a related field.
• 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.

• 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.

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.

$38.97 to $58.47 per hour.