Inpatient Care Manager II Non Exempt

Franciscan Alliance, Inc.•Crown Point, IN

4d•Onsite

About The Position

The Inpatient Care Manager II works with assigned patients to assess, facilitate, plan, and advocate for individual health needs. The role performs admission screening for patients in beds to assess medical necessity, reviews appropriateness of setting and utilization, evaluates care-planning quality, and facilitates discharge planning at admission and concurrently. The Care Manager maintains documentation in EPIC and DOC flowsheets for discharge planning and payer authorization; coordinates transitions of care among the hospital multidisciplinary team, post-discharge providers, and patients and families; and complies with relevant accrediting, governmental, and third-party payer requirements. In collaboration with the care team, the role develops individualized treatment and discharge plans that address patient needs, identify follow-up resources, and support safe transitions and continuity of care while minimizing readmission risk. Planning takes insurance, financial resources, clinical status, functional capacity, and available resources into account.

Requirements

Associate degree in Nursing.
Indiana Registered Nurse (RN) license.

Nice To Haves

Bachelor's degree in Nursing.
Certified Case Manager (CCM) certification.
Five years of Nursing/Patient Care experience.
Two years of Case Management experience.

Responsibilities

Perform admission screening for patients in beds to determine medical necessity.
Review appropriateness of setting, utilization, and care-planning quality.
Facilitate discharge planning at admission and on a concurrent basis.
Maintain accurate, concise, and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
Serve as a liaison and coordinate transitions of care with the hospital multidisciplinary team, post-discharge providers, and patients and families.
Comply with accrediting-body, governmental-agency, and third-party payer requirements related to discharge planning and mandated reporting.
Collaborate with nursing, providers, social workers, and ancillary team members to individualize treatment plans and achieve defined patient-outcome goals.
Assess patients and develop discharge plans that identify post-discharge needs and appropriate follow-up resources.
Coordinate with patients, families, and the multidisciplinary care team to support a safe, seamless discharge and continuity of care while minimizing readmission risk.
Consider insurance, financial resources, clinical status, functional capacity, and resource availability when supporting an appropriate discharge.