About this role
At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.
Job Description :
Job Summary
Responsible for coordinating and managing patient care transitions across inpatient, outpatient, and community settings. Collaborates with multidisciplinary teams to develop and implement comprehensive care and discharge plans. Communicates effectively with patients, families, and healthcare partners to ensure continuity, satisfaction, and optimal outcomes. Utilizes clinical assessments and evidence-based practices to guide resource utilization and prevent readmissions. Supports quality improvement initiatives and serves as a resource for education and training in case management.
Essential Functions
• Conducts comprehensive assessments of clinical discharge needs for patients.
• Coordinates multidisciplinary plans of care addressing discharge and anticipatory clinical needs.
• Facilitates care coordination, case finding, screening, eligibility determination, and ongoing monitoring and evaluation of care plans.
• Rounds with clinical staff to provide discharge planning recommendations and reviews care plans for goal consistency and prevention of healthcare-acquired events.
• Organizes and expedites access to tests, procedures, and results to prepare patients for discharge and reduce length of stay.
• Arranges post-discharge services, including home health, durable medical equipment, and transfers to appropriate agencies or facilities.
• Serves as a liaison with internal and external departments and agencies to ensure continuity of care and transitions.
• Maintains up-to-date clinical knowledge of available services and eligibility criteria, and educates patients, families, and staff accordingly.
• Documents clinical needs, services, and discharge plans in the medical record and communicates with all relevant stakeholders.
• Performs other duties as assigned.
Education Requirement
Bachelor’s degree in social work, nursing, psychology, sociology, or a related field
Master’s degree in nursing is preferred
Experience Requirement
2-3 years of experience in nursing, or a relevant area
An equivalent combination of education and experience may be considered.
All experience must be paid and in the same related field.
Part-time and PRN experience will be prorated based on hours worked per week.
Volunteer work and internships for academic credit are not counted.
Certifications & Licensures
Active Registered Nurse license
Working Conditions
A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)
B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never
C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% - 50% of the time)
D. Standing or walking with objects up to 25lbs: 2. Occasional (< 10% of the time)
E. Sitting at computer workstation for extended periods: 3. Intermittent (10% - 50% of the time)
F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 2. Occasional (< 10% of the time)
G. Repetitive motion: 3. Intermittent (10% - 50% of the time)
H. Working at heights above 4 feet: 1. Never
I. Working in confined spaces: 1. Never
J. Risk of injuries from use of equipment on the job: 2. Occasional (< 10% of the time)
K. Job-related travel: 2. Occasional (< 10% of the time)
L. Loud noises: 1. Never
M. Temperature extremes: 1. Never
N. Hazardous chemicals and fumes including waste: 1. Never
O. Radiation: 1. Never
P. Burns: 1. Never
Q. Cuts/Punctures: 2. Occasional (< 10% of the time)
R. Bloodborne/airborne pathogens: 2. Occasional (< 10% of the time)
S. Recombinant DNA or viral vectors: 1. Never
T. Combative/violent people: 2. Occasional (< 10% of the time)
U. Animal handling (including carcasses): 1. Never
V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A
Physical Demands
This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, and/or pulling objects weighing up to 50 pounds. Also involves occasional exposure to risk of back injury from moving, lifting, or positioning patients, equipment, or materials.
Additional Job Descriptions
N/A
Department :
Case Management
Shift :
Days (United States of America) (inactive)
Time Type :
Full time
Address :
2201 Lexington Avenue
City, State :
Ashland, Kentucky