RN Case Manager

Overview Shift’s Available:   Day Employment Type: Per Diem/PRN Hours: 8-hour shift:  weekends only Location: Riverview Regional Medical Center – Gadsden, AL  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.   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 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/  #LI-MP1 Pay Transparency BCBS of Alabama   interqual  Jiva experience required  Employment Status Per Diem 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