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RN Clinical Transitions Specialist – Inpatient Case Management, Weekend
Carle Health. Oversee, coordinate, and manage functional and financial outcomes during acute hospitalization .
Posted 9/25/2026full-timePeoria • Illinois • United StatesMid-LevelSenior💰 $36 - $58 per hourWebsite
About the role
Key responsibilities & impact- Oversee, coordinate, and manage functional and financial outcomes during acute hospitalization
- Conduct proactive initial assessments, ongoing evaluations, and discharge planning
- Facilitate safe and timely transitions from acute hospital care to appropriate post-hospital care
- Liaise with patients, families, physicians, consultants, and internal and external referral partners to determine the next level of care and manage length of stay
- Document plans of care and utilization issues in case management/utilization review software and multidisciplinary care documents
- Evaluate care-plan effectiveness and collaborate with physicians to support patient outcomes and reduce readmission risk
- Investigate coverage for post-hospital needs and present options to patients, families, and providers
- Participate in multidisciplinary rounds and initiate referrals to quality improvement, risk management, social work, pharmacy, and therapy services
- Arrange durable medical equipment, home care, outpatient infusion, hospice, extended care facility placement, transportation, and regulatory letters
- Track avoidable inpatient days and conduct readmission assessments
- Assess post-discharge needs within 24–48 hours of admission and throughout the stay
- Arrange and attend patient/family care conferences
- Present unique or challenging cases to educate peers on case management and scope-of-practice issues
Requirements
What you’ll need- Licensed Registered Professional Nurse (RN) from the Illinois Department of Financial and Professional Regulation (IDFPR)
- Bachelor's Degree
- Must work Saturday and Sunday, 07:00–19:00
- Weekend work required
- If a recognized holiday falls on the weekend, weekend staff work the holiday
- Ability to perform inpatient case management, utilization review, discharge planning, post-acute care coordination, and patient/family education
Benefits
Comp & perks- Comprehensive benefits package
- Equal opportunity employment
- Potential for growth and life-long careers at Carle Health