Nurse Manager Jobs

About The Position

Requirements

• For the social work pathway: MSW or equivalent from an accredited school of social work.
• For the nursing pathway: graduation from a professional nursing program and current RN licensure to practice in Pennsylvania, or pursuit of Pennsylvania licensure through reciprocity; New Jersey RN licensure is required for the Warren Campus.
• For the nursing pathway: BSN required or to be obtained within three years of hire.
• Strong critical-thinking skills.
• Ability to maintain collaborative and effective working relationships.
• Ability to assert needs to patients, families, physicians, and other interdisciplinary team members while maintaining rapport and relationships.
• Knowledge of medical terminology.
• Ability to communicate verbally and in writing.
• Basic computer skills.
• If the primary coverage area is OB, membership in the National Organization of Perinatal Social Workers is required.

Nice To Haves

• At least two years of experience as an RN or social worker in an acute hospital setting is preferred.
• Previous care management experience is preferred.
• Advanced nursing degree preferred.
• MSN and/or Case Management Certification preferred.

Responsibilities

• Develop discharge plans that address patients’ psychosocial needs and goals for the next step in the continuum of care.
• Collaborate with patients, families or caregivers, and multidisciplinary teams to create discharge plans aligned with patient needs and goals.
• Work with care management team members, including RN care managers, assistants, coordinators, utilization management staff, and the director.
• Facilitate communication among treatment team members and update the care team and patients or families on discharge-plan status.
• Proactively identify and address issues and barriers to care, length of stay, and successful discharge.
• Re-evaluate and revise discharge plans as additional information becomes available.
• Consider palliative care, home care, and other services that support outpatient health and minimize readmission risk.
• Issue applicable state and federal regulatory notices, including IMM, MOON, and BPCI notifications.
• Monitor risk assessments using available tools and implement appropriate discharge interventions.
• Address and monitor resource utilization and document delays as appropriate.
• Identify patients with unplanned readmissions and complete root-cause analyses.
• Coordinate patient and community resources to support safe, effective discharge plans, goal achievement, and reduced readmission risk.
• Collaborate with Outpatient Care Managers to identify patients for handover and post-discharge follow-up.
• Provide supportive counseling and advocacy to patients and families dealing with illness, hospitalization, or alternative care placement.
• Facilitate decision-making in complex cases and resolve patient-care issues compassionately, using team meetings as appropriate.
• Serve as a staff resource on regulatory issues related to discharge planning and psychosocial processes.
• Use electronic systems to accurately document care manager functions.