In collaboration with physicians and the interdisciplinary team, the Case Manager RN develops, implements, and monitors individualized plans of care that address treatment needs, estimated length of stay (LOS), and anticipated discharge disposition (e.g., home, SNF, LTAC, ALF). The Case Manager RN participates in interdisciplinary rounds and huddles, reviews the medical record to anticipate clinical stability, escalates barriers through appropriate channels, documents avoidable days and anticipated discharge dates, and plans medical discharge needs.