Registered Nurse (RN) Case Manager

Lifepoint Health • Pulaski, TN

1d • Onsite

About The Position

The Registered Nurse (RN) Case Manager evaluates patient status and appropriateness of care in coordination with nursing staff and the multidisciplinary team. The role coordinates discharge planning and education, monitors patient and family satisfaction, reviews charts for care delivery, outcomes, compliance, cost, and reimbursement issues, and communicates with providers, payors, and ancillary services to support timely care progression. The Case Manager documents activities, plans, and outcomes; participates in performance improvement and continuing education; and supports department operations on alternate shifts or units as needed. On-call assignments may occur.

This is a full-time day position with a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m. at Southern Tennessee Regional Health System - Pulaski, a 95-bed acute care facility serving Giles County and surrounding communities.

Requirements

• Current Tennessee or compact-state RN license; if relocating, licensure must be updated to the new Primary State of Residence before employment begins.
• Associate’s degree from an accredited nursing school.
• Graduate of a program in the discipline.
• Obtain Basic Life Support (BLS) certification within 30 days.
• Critical thinking skills and decisive judgment.
• Ability to work with minimal supervision and in a stressful environment, and to take appropriate action.

Nice To Haves

• Two years of recent related clinical experience, preferably in Utilization Review, Quality Improvement, and Case Management.
• Bachelor of Science in Nursing (BSN) from an accredited school of nursing.

Responsibilities

• Consult regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care, including admission, length of stay, transfers, and discharge.
• Monitor patient and family satisfaction and respond to questions and complaints from patients, families, and payors.
• Lead and coordinate discharge planning, including transfers to other facilities and referrals to community resources, and provide discharge education.
• Perform chart reviews to identify and address issues related to service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
• Communicate with providers, payors, and ancillary services to remove barriers and ensure timely care progression.
• Accurately document case management activities, plans, and outcomes.
• Participate in performance improvement and required continuing education.
• Support department operations by working alternate shifts or units as needed; may be assigned on-call.

Benefits

• Multiple levels of medical, dental, and vision coverage.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree