RN Case Manager

Riverview Regional Medical Center • Gadsden, AL

3d • Onsite

About The Position

The RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager, oversees and coordinates patient care from admission through discharge to ensure quality, cost-effective outcomes. The role assesses patients’ needs, develops care plans, and collaborates with physicians, nurses, social workers, and other providers to manage care transitions. The RN Case Manager also conducts discharge planning and utilization review and helps patients navigate insurance and healthcare systems.

This is a full-time, day-shift position at Riverview Regional Medical Center in Gadsden, Alabama. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., in eight-hour shifts.

Requirements

• Current Alabama state RN license.
• A BSW or another bachelor’s degree in a related field.
• Current CCM certification or obtain it within one year of hire.
• Basic to intermediate computer skills and knowledge.
• Complete Behavioral Violence Prevention Training within three months of hire and maintain current training.

Nice To Haves

• Five years of acute care experience.
• At least one year of experience in case management, discharge planning, or management.
• Current BLS (AHA) certificate.
• Knowledge of Milliman Criteria and InterQual Criteria.

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 treatment or extended stays.
• Help patients and families understand care plans, post-discharge instructions, and available resources.
• Advocate for patients’ needs and preferences so care aligns with their goals and values.

Benefits

• Health, dental, and vision insurance options.
• Paid vacation, sick time, and holidays.
• Bereavement leave, FMLA, and other leave options.
• Employer 401K options.
• Tuition reimbursement options.
• Life, disability, and other insurance options.
• Many other benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level