Registered Nurse Case Manager

Shift’s Available: Days
Employment Type: Full Time
Hours: 8 hour days, 8 am–5 pm
Location: Southern Regional Medical Center – Riverdale, GA

About the role

We are seeking a Registered Nurse Case Manager (RN Case Manager) to oversee and coordinate patient care from admission through discharge, ensuring quality, cost-effective outcomes. The RN Case Manager assesses patients’ needs, develops care plans, and collaborates with physicians, nurses, social workers, and other providers to manage care transitions. They also conduct discharge planning, utilization review, and help patients navigate insurance and healthcare systems.

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.

Qualifications

• Current state Registered Nurse license.
• Minimum 5 years of work experience post-graduation from an accredited school of nursing (grandfathered if employed prior to April 1, 2015).
• Five years of acute care nursing experience preferred.
• At least one year of experience in case management, discharge planning, or nursing management preferred.
• Current BCLS (AHA) certificate upon hire and maintain current.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hire and maintain current.