Registered Nurse Case Manager
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Prime Healthcare is hiring a Registered Nurse Case Manager. The RN Case Manager oversees and coordinates patient care from admission through discharge, ensuring quality and cost-effective outcomes. This role involves assessing patient needs, developing care plans, and collaborating with healthcare professionals to manage care transitions. The RN Case Manager also handles discharge planning, utilization review, and assists patients in navigating insurance and healthcare systems.
Key focus areas include Evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay, Develop and implement individualized care plans in collaboration with the healthcare team, and Coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities.
Successful candidates bring 5+ Years Nursing Experience, Current RN License, and BCLS Certification. Preferred (not required): Patient Assessment, Care Coordination, Discharge Planning, and Utilization Review.
Skills & qualifications
Skills
Qualifications
Full job description
Overview
Shift’s Available : Days
Employment Type : Full Time
Hours: 8 hour days hsifts 8am-5pm
Location : Southern Regional Medical Center – Riverdale, GA
We are seeking a n RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems.
Responsibilities
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Patient Assessment: e valuate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
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Care Coordination: d evelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
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Discharge Planning: c oordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
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Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
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Patient and Family Education: h elp patients and families understand care plans, post-discharge instructions, and available resources
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Advocacy: a dvocate for patient needs and preferences, ensuring care is aligned with their goals and values
Qualifications
Education and Work Experience
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Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
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Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
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Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
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Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
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Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
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Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
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Current BCLS (AHA) certificate upon hire and maintain current;
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Knowledge of Milliman Criteria and InterQual Criteria preferred.
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Experience and knowledge in basic to intermediate computer skills.
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Behavioral Violence Prevention Training within 3 months of hires and maintain current.
#LI-DF2
Employment Status
Full Time
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf
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FacilitySouthern Regional Medical Center
LocationUS-GA-Riverdale
ID2026-269790
CategoryRN
Position TypeFull Time
ShiftDays
Job TypeExempt
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