Case Manager Registered Nurse

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. This position is on a per diem basis, meaning PD/PRN as needed.ResponsibilitiesPatient 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 valuesQualificationsEDUCATION, EXPERIENCE, TRAININGRequired Qualifications:1. Minimum 5 years' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license2. At least one year experience in case management, discharge planning or nursing management3. Experience and knowledge in basic to intermediate computer skills.Preferred Qualifications:4. Five years of acute care nursing experience. preferred5. CCM or obtained within 1year6. Knowledge of Milliman Criteria and InterQual Criteria preferred.7. Current BCLS certificate, preferredEmployment 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: