The RN Facility Case Manager will provide on-site facility (in person) discharge planning and coordination at designated hospitals or Skilled Nursing Facilities (SNF). This position will work closely with Hospitalists who are managing the patient’s clinical condition and at the most appropriate level of care. In collaboration with the hospitalist, the RN Facility Case Manager will develop a safe discharge plan for the patient ensuring patients are transitioning to high quality skilled nursing facilities or transitioning home with possible home health, durable medical equipment, and medications as needed. The position will facilitate peer to peer discussions with hospitalists, specialists, and primary care providers. The RN Facility Case Manager will coordinate with Inpatient Nurses and Coordinators to ensure needed prior authorizations are completed for timely discharge planning. Works as part of an interdisciplinary care team coordinating care and collaborating with social work, ambulatory case management, and Regional Medical Directors, Hospitalist, the hospital nursing personnel, and with the clinic physician. The RN Facility Case Manager will be expected to perform assessments and use the appropriate guidelines to ensure the patient is receiving the appropriate level of care.