Case Manager RN - Inpatient

The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that Physician/Interdisciplinary Team discusses estimated LOS, tentative discharge date, and assessed needs for discharge with the patient and family. Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to speaking with the physician and/or participating in multidisciplinary rounds/huddles. Participates in interdisciplinary Rounds or Huddles. Ensures patient is progressing through clinical milestones and adjusting the targeted discharge day as indicated. Collaborates with Interdisciplinary team members to continuously identify more effective st...