Inpatient Registered Nurse (RN) or Social Worker (MSW) Care Manager, Full Time, Anderson Campus

Join The Future Of Heart Care e's Anderson Campus

St. Luke's is proud of the skills, experience, and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses, and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

Shape the future of heart care e's Anderson Campus! We're entering an exciting chapter in St. Luke's history—our largest expansion ever is opening Fall 2026. At our brand-new, state-of-the-art Heart Hospital, you'll work directly with patients and deliver life-changing care using the latest technology and treatments. This 350,000-square-foot expansion will, ultimately, add 150 inpatient beds, 10 cutting-edge operating rooms, and 10 advanced interventional suites, strengthening our leadership in cardiology and tertiary services.

Since opening in 2011 on a beautiful 500-acre campus, Anderson has grown into a nationally recognized teaching hospital and a designated 100 Top Hospital. We are home to a Trauma Center and the region's most advanced tertiary obstetrics program. This growth is driven by the dedication and compassion of our physicians, nurses, and care teams—and patient demand continues to rise. Now, we're looking for flexible, team-oriented professionals ready to thrive in a dynamic, fast-growing environment.

This is more than a career—it's your chance to make a lasting impact on your community and help shape the future of heart care. Join us. Be part of something extraordinary.

Work Schedule For This Position:
Full time days.

The Social Worker or Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of patients, as well as to provide supportive counseling, psycho-social assessment, and interventions for designated patient populations across the continuum of care. Also works with the providers, registered nurse care managers, social workers, and multi-disciplinary care teams to facilitate the achievement of desired patient, quality, and financial outcomes.

Job Duties And Responsibilities:

• Develops a discharge plan that addresses the psycho-social needs to meet desired goals for the next step in the continuum of care for patients.
• Collaborates with the patient, family or other caregivers, and multidisciplinary team to design a discharge plan respective of the patient's needs and goals.
• Works as a team with other members of care management, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director.
• Facilitates communication among all treatment team members.
• Manages length of stay by proactively identifying and mitigating issues and barriers to care and a successful discharge plan.
• Updates the care team, patient/family as to the status of the discharge plans. Re-evaluates and revises the discharge plan as additional information is acquired.
• Proactively considers options such as palliative care, homecare and other services that work to keep the patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions.
• Issues applicable state/federal regulatory notices as applicable ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Bundle Payment Care Initiative (BPCI) notification.
• Monitors risk assessment using available tools and implements discharge interventions accordingly.
• Actively addresses and monitors resource utilization and documents delays as appropriate.
• Identifies patients with an unplanned readmission and completes root cause analysis.
• Coordinates utilization of patient and community resources to facilitate achievement of a safe and effective discharge plan and accomplishment of goals as well as minimizing risk of readmission.
• Collaborates with Outpatient Care Managers to identify patients for handover and post discharge follow up.
• Provides supportive counseling and advocacy to assist…