Hospital Case Manager (RN)

Community Physicians•Winfield, IL

4d•Onsite

About The Position

Community Physicians is looking for a dedicated Hospital Case Manager (RN) to join our Department of Transitions of Care. In this vital role, you aren’t just processing paperwork; you are the primary architect of a patient’s recovery journey. You will act as the bridge between acute hospital care and post-acute settings, ensuring that our medically complex older adults transition safely, with dignity, and with the resources they need to avoid hospital readmission.

Requirements

BSN (Bachelor of Science in Nursing) is required.
Active, unrestricted RN license in the State of Illinois.
3–5 years of experience in hospital discharge planning, case management, or a related post-acute care field.
Strong familiarity with Medicare/Medicaid guidelines, payer systems, and community resources in the Winfield/DuPage County area.
Exceptional critical thinking and the ability to remain calm and organized in a fast-paced hospital environment.

Responsibilities

Lead the Transition: Collaborate daily with physicians, therapists, and nursing staff to develop and execute individualized discharge plans for geriatric patients.
Clinical Advocacy: Conduct comprehensive assessments to identify clinical, psychosocial, and financial barriers to a safe discharge.
Resource Coordination: Arrange for essential post-acute services, including Skilled Nursing Facilities (SNF), Home Health, Rehabilitation, and Hospice.
Documentation Excellence: Maintain precise, real-time documentation within the EMR to ensure compliance with federal, state, and payer regulations.
Family Support: Provide counseling and resource education to families navigating the complexities of elder care and chronic disease management.