About the role
The Case Management Nurse is responsible for overseeing and coordinating patient care during acute hospital stays, ensuring safe and timely transitions to appropriate post-hospital care.
They act as a liaison between patients, families, and healthcare providers to determine next levels of care, manage length of stay, and develop individualized care plans.
Key duties include conducting assessments within 24-48 hours of admission, evaluating readmission risks, collaborating with physicians, documenting care plans, and coordinating services such as DME, home care, hospice, and transportation.
They participate in multidisciplinary rounds, monitor care effectiveness, investigate coverage options, and facilitate referrals to internal teams like social work and therapy.
Qualifications include licensure as a Registered Nurse (RN) in Illinois and a Bachelor's Degree.
Essential skills encompass assessment, coordination, monitoring, communication, and documentation, with a focus on patient outcomes, risk management, and reducing avoidable inpatient days.
Overall, the role ensures comprehensive case management through proactive planning, collaboration, and evaluation to optimize patient recovery and readmission prevention.
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