RN Case Manager

Job Description

Job Description

Registered Nurse – RN Case Manager (Direct Hire)
Shift: 8-hour morning–afternoon
Location is North of Atlanta 
Pay is between $85000-95000 based on experience

Overview
Prestige Staffing is seeking an RN Case Manager to provide comprehensive patient assessment, care coordination, discharge planning, and length-of-stay management. This role partners closely with physicians, patients/families, nursing, utilization review, and the interdisciplinary team to support safe transitions of care and quality, cost-effective outcomes across the care continuum. Position may support patients across neonate through geriatric populations and provides cross-coverage as needed.

Key Responsibilities

• Monitor patients on assigned units to ensure appropriate resource utilization and interventions; manage length of stay based on DRG/admitting diagnosis
• Communicate expected length of stay and discharge goals with physicians, patients/families, and the care team
• Coordinate and facilitate sequencing of care interventions; identify delays and escalate unresolved issues to leadership
• Assess, coordinate, and facilitate discharge plans; arrange post-acute services prior to discharge; reassess throughout stay to ensure timely, safe transition
• Provide patients/families with information on plan of care, discharge needs, and potential financial responsibility for services
• Maintain knowledge of reimbursement methodologies and coverage guidelines; communicate as needed to support covered services
• Partner daily with Utilization Review to ensure appropriate patient status/level of care; facilitate changes with providers and nursing
• Serve as a liaison/leader for discharge planning, community resources/referrals, social service needs, and financial considerations
• Ensure appropriate handoffs during unit-to-unit transitions
• Maintain knowledge of community resources, payer requirements (PPO/HMO), and governmental regulations; complete required documentation
• Adhere to all regulatory/accreditation requirements; demonstrate urgency and strong stewardship mindset
• Work scheduled shifts, including weekend rotation and remote coverage

Minimum Qualifications (Required)

• Active RN license in Georgia
• Associate degree; graduate of an accredited school of nursing (Bachelor’s degree preferred)
• CCM (Certified Case Manager) or ACM certification preferred
• 3–5 years of experience in direct patient care and/or case management
• Financial and discharge planning experience
• Working knowledge of state and federal regulations
• Strong observation, analytical thinking, problem-solving, self-direction, and oral/written communication skills
• Professional, team-oriented interpersonal skills; positive approach
• Aptitude in critical care, cardiac, medical, and/or surgical nursing

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