Case Manager Registered Nurse

Prime Healthcare • Riverdale, GA

7d • Onsite

About The Position

We are seeking an 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. This position is on a per diem basis, meaning PD/PRN as needed.

Requirements

• Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license
• At least one year experience in case management, discharge planning or nursing management
• Experience and knowledge in basic to intermediate computer skills.

Nice To Haves

• Five years of acute care nursing experience.
• CCM or obtained within 1year
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Current BCLS certificate, preferred

Responsibilities

• 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 to ensure effective treatment and timely interventions
• Coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
• Monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
• Help patients and families understand care plans, post-discharge instructions, and available resources
• Advocate for patient needs and preferences, ensuring care is aligned with their goals and values

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed