RN Case Manager

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: Per Diem/PRN

Hours: 8-hour shift; varied days

Location: Riverview Regional Medical Center - Gadsden, AL

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

Competitive compensation

• Medical insurance benefit plan

• 401K

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

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
• Knowledge of InterQual Criteria
• Up-to-date knowledge on Blue Cross Blue Shield Jiva Portal and BCBS experience
• 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

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

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