RN Case Manager

RN Case ManagerWe 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.ResponsibilitiesEssential Duties and Responsibilities (includes, but not limited to):Patient Assessment: evaluate patients' medical, psychosocial, and discharge needs upon admission and throughout their stayCare Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventionsDischarge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilitiesUtilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended staysPatient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resourcesAdvocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and valuesQualificationsBefore we go any further, we do have some deal-breakers. You must have:Valid State RN LicenseBSW or other Bachelor degree in a related fieldCurrent CCM or obtained within 6 months of hireExperience and knowledge in basic to intermediate computer skillsBehavioral Violence Prevention Training within 3 months of hire and maintain currentAdditional Qualifications That Are a Plus:Minimum 5 years of acute care experienceAt least one-year experience in case management, discharge planning or managementCurrent BLS (AHA) certificateKnowledge of Milliman Criteria and InterQual CriteriaPay TransparencyBCBS of Alabama interqual Jiva experience requiredEmployment StatusPer DiemShiftDaysEqual Employment OpportunityCompany 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: