RN Case Manager

Prime Healthcare•Gadsden, AL

1d•Onsite

About The Position

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.

Requirements

Valid State RN License
BSW or other Bachelor degree in a related field
Current CCM or obtained within 6 months of hire
Experience and knowledge in basic to intermediate computer skills
Behavioral Violence Prevention Training within 3 months of hire and maintain current

Nice To Haves

Minimum 5 years of acute care experience
At least one-year 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 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