RN Case Manager

Overview Shift’s Available : Day Employment Type : Full Time Hours: 8-hour shift: Monday - Friday, 8a - 4:30p Location : Riverview Regional Medical Center – Gadsden, AL 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. Responsibilities Essential Duties and Responsibilities (includes, but not limited to): • Patient Assessment: e valuate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay • Care Coordination: d evelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions • Discharge Planning: c oordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities • Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays • Patient and Family Education: h elp patients and families understand care plans, post-discharge instructions, and available resources • Advocacy: a dvocate for patient needs and preferences, ensuring care is aligned with their goals and values Qualifications • Current AL state RN license • BSW or other Bachelor degree in a related field • Current CCM or obtained within 1 year of hire • Experience and knowledge in basic to intermediate computer skills • Behavioral Violence Prevention Training within 3 months of hire and maintain current • 5 years of acute care experience, preferred • At least one-year experience in case management, discharge planning or management, preferred • Current BLS (AHA) certificate, preferred • Knowledge of Milliman Criteria and InterQual Criteria, preferred 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 Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/ #LI-JJ3 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 Essential Duties and Responsibilities (includes, but not limited to): • Patient Assessment: e valuate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay • Care Coordination: d evelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions • Discharge Planning: c oordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities • Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays • Patient and Family Education: h elp patients and families understand care plans, post-discharge instructions, and available resources • Advocacy: a dvocate for patient needs and preferences, ensuring care is aligned with their goals and values • Current AL state RN license • BSW or other Bachelor degree in a related field • Current CCM or obtained within 1 year of hire • Experience and knowledge in basic to intermediate computer skills • Behavioral Violence Prevention Training within 3 months of hire and maintain current • 5 years of acute care experience, preferred • At least one-year experience in case management, discharge planning or management, preferred • Current BLS (AHA) certificate, preferred • Knowledge of Milliman Criteria and InterQual Criteria, preferred 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 Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/ #LI-JJ3