Case Manager

Trinity Health; Georgia; On-site; USD 65,000 - 90,000; Full time

Job summary

Trinity Health is seeking a Case Manager RN in Georgia to collaborate with a care team and oversee an interdisciplinary process from admission to community return for a defined caseload. Responsibilities include chart reviews for utilization review and identifying patients needing follow-up after discharge.

The role requires a GA RN license, nursing degree, and a minimum of 2 years of nursing experience with 1 year in case management or discharge planning.

Qualifications

• GA RN license required.
• Graduate of an accredited school of nursing; BSN recommended.
• Minimum of 2 years' nursing experience and at least 1 year in case management, utilization management, or discharge planning preferred.
• Certification in case management preferred.
• Excellent communication, interpersonal, and critical thinking skills.

Responsibilities

• Perform interdisciplinary evaluation of patient needs from admission through return to the community.
• Conduct initial and concurrent chart reviews for utilization review.
• Identify patients requiring case management follow-up and coordinate discharge planning for timely post-hospital transitions.
• Communicate with external agencies to provide referrals and ensure smooth transitions.
• Assist in proper identification of principal and secondary diagnoses in collaboration with treating physicians.

Skills

Communication skills

Interpersonal skills

Critical thinking

Education

GA RN license

Accredited nursing school BSN recommended

Job description

Employment Type: Full time

Shift: Day Shift

Description

The Case Manager, in collaboration with other healthcare professionals, is responsible for implementing an interdisciplinary process for evaluating the options and services required to meet an individual's health care needs from admission to the acute care setting through return to the community for a specific caseload of patients. The case manager is also responsible for conducting initial and concurrent chart reviews for the purpose of utilization review as well as identifying patients requiring case management follow-up. This includes a biopsychosocial assessment of the case management patients, their response to treatment, identifying and alerting the physicians of possible actions to reduce delays associated with extended stays. The case manager enhances cost-effective use of resources by identifying and initiating discharge planning to accomplish the timely transition of patients to a post-hospital setting. The case manager must have in depth knowledge of system and community resources and referral agencies. The case manager is responsible for communicating with external agencies to provide referrals information for a smooth transition from hospital to the post-hospital setting. This includes communication with other health care agencies and payer sources. This position will also assure proper identification of principal and secondary diagnosis in collaboration with the treating physician.

Position Requirements

• A: Licensure/Certification/Registration : Current GA RN license
• B. Education: Must be a graduate of an accredited school of nursing, BSN recommended
• C: Experience: Must have a minimum of 2 years' experience in nursing and a minimum of 1 year in case management, utilization management, or discharge planning preferred. Certification in case management preferred.
• D: Special Qualifications: Excellent communication, interpersonal, and critical thinking skills.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.