Case Manager, Registered Nurse

Case Manager, Registered Nurse North Alabama Medical Center – Case Management Case Manager, Registered Nurse – Position Summary Monitors and manages patient care to promote continuity of care, optimal outcomes, patient satisfaction, cost efficiency, and regulatory compliance. Collaborates with the multidisciplinary team, payors, and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of Department. Essential Functions Consults regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care, including admission, length of stay, transfers, and discharge. Monitors patient and family satisfaction; responds to questions and complaints from patients, families, and payors. Leads and coordinates discharge planning, including patient transfers to other facilities and referrals to community resources; provides discharge education. Performs chart reviews to identify and address issues related to service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement. Communicates effectively with providers, payors, and ancillary services to remove barriers and ensure timely care progression. Accurately documents case management activities, plans, and outcomes. Participates in performance improvement and required continuing education. Supports department operations by working alternate shifts/units as needed; may be assigned on-call. Performs other duties as assigned. Additional Information Patient Populations Served: Neonate, Infant, Early Childhood, Late Childhood, Adolescent, Young Adult, Middle Adult, Older Adult. Protected Health Information Accessed: Demographic, Clinical, Insurance, Financial, Complete Medical Record. Exposure: Occupational exposure to bloodborne pathogens may be present. Physical Requirements (typical): Frequent keyboard data entry, sitting, standing, walking, and repetitive hand/arm movements; occasional kneeling, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing or running. Vision demands include near/far vision and depth perception (constant); color distinction frequent; smell and taste rarely required. Benefits Comprehensive Benefits : Multiple levels of medical, dental and vision coverage Financial Protection & PTO : Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off Financial & Career Growth : Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match Employee Well-being : Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs) Professional Development : Ongoing learning and career advancement opportunities Knowledge, Skills & Abilities Education: Associate's Degree in Nursing required; Bachelor's Degree in Nursing preferred. License/Certifications: Current AL RN license; BCLS required. Skills: Critical thinking and decisive judgment; ability to work with minimal supervision in stressful environments. Proficiency learning/navigating multiple clinical software systems. Effective English communication (read, write, speak, and understand). Ability to complete the Skills Competency Checklist within 90 days of hire. Experience: At least 2 years hospital RN experience required. Hospital case management preferred. Critical Care Experience, ER Experience, Post acute agencies work (home health, hospice, SNF rehab, etc.) or other relative work experience considered. EEOC Statement North Alabama Medical Center is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. #J-18808-Ljbffr