Overview

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.

Shift’s Available: Days

Employment Type: Full Time

Hours: 8-hour shift

Location: Riverview Regional Medical Center – Gadsden, AL

Here are some of the benefits of working at Prime Healthcare:

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 amazing benefits

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to):

Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay

Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions

Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities

Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays

Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources

Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values

Qualifications

Education and Work Experience

Before we go any further, we do have some deal-breakers. You must have:

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

Additional Qualifications That Are a Plus:

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

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

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Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf