Registered Nurse Case Manager
About The Position
The Registered Nurse Case Manager oversees and coordinates patient care from admission through discharge to support quality, cost-effective outcomes. The role assesses patient needs, develops care plans, and works with physicians, nurses, social workers, and other providers to coordinate care transitions. Responsibilities also include discharge planning, utilization review, and helping patients navigate insurance and healthcare systems. The position is based at Southern Regional Medical Center in Riverdale, Georgia, and is full-time with an eight-hour day shift listed as 8 a.m.–5 p.m.
Requirements
- Minimum five years of work experience after graduating from an accredited school of nursing and a current state Registered Nurse license.
- For those grandfathered prior to April 1, 2015: minimum five years of postgraduate experience from an accredited school of social work for a Licensed Clinical Social Worker; an RN Case Manager is preferred.
- Current BCLS (AHA) certificate upon hire and maintenance of current certification.
- Basic to intermediate computer skills and knowledge.
- Behavioral Violence Prevention Training within three months of hire and maintenance of current training.
Nice To Haves
- Five years of acute care nursing experience preferred.
- At least one year of experience in case management, discharge planning, or nursing management preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- RN Case Manager preferred for candidates grandfathered under the social-work qualification.
Responsibilities
- Evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay.
- Develop and implement individualized care plans with the healthcare team to support effective treatment and timely interventions.
- Coordinate safe and appropriate discharge plans, including referrals to rehabilitation, home health, or long-term care facilities.
- Monitor hospital resource and service use 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 so that care aligns with their goals and values.
- Coordinate patient care from admission through discharge and manage care transitions.
- Help patients navigate insurance and healthcare systems.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
