Case Manager RN

St. Francis-Emory Healthcare; Columbus (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

St. Francis-Emory Healthcare in Columbus, GA is seeking a dedicated RN–Case Manager to oversee patient healthcare services. This role focuses on assessing and coordinating care to ensure optimal patient outcomes while maintaining regulatory compliance.

The successful candidate will utilize strong critical thinking and communication skills to collaborate with interdisciplinary teams. An Associate Degree in Nursing is required, along with a current RN license and BLS certification. Join our culture of excellence in healthcare!

Qualifications

• Current Registered Nurse license in the state of practice.
• Basic Life Support (BLS) certification required.
• Minimum of 1-2 years clinical experience in relevant settings.

Responsibilities

• Assess, plan, coordinate, and monitor healthcare services for patients.
• Ensure effective case management and quality care across services.
• Conduct 48-hour post-discharge follow-up calls as applicable.

Skills

Critical thinking

Time management

Problem-solving

Communication skills

Interpersonal abilities

Education

Associate Degree in Nursing

Bachelor of Science in Nursing (BSN)

Tools

EMR systems

Job description

Overview

Join St. Francis–Emory Healthcare, a 376-bed community-connected hospital in Columbus, GA. This hospital blends cutting‑edge care with hometown purpose and is part of the ScionHealth network. St. Francis has received multiple awards from U.S. News & World Report, disease‑specific certifications from the Joint Commission, and is a Top Large Hospital in Georgia. The facility delivers advanced heart, orthopedic, and women’s care services. Employees experience a culture of excellence where their work directly shapes the health of the community.

Job Summary

The RN–Case Manager assesses, plans, coordinates, and monitors healthcare services and resources necessary to meet individual patient needs. This role ensures effective case management processes that promote optimal patient outcomes, quality of care, regulatory compliance, and cost efficiency across the continuum of care.

Essential Functions

• Review clinical documentation and coordinate care across departments to ensure medically necessary services are provided in a timely and cost‑effective manner.
• Perform discharge planning by identifying patient needs and arranging post‑discharge services including home health, medical equipment, and rehabilitation.
• Collaborate with interdisciplinary team members, physicians, patients, and families to support quality care and safe transitions.
• Communicate with insurance providers and payers for authorization and continued stay approvals.
• Document all activities, decisions, communications, and patient education in the EMR.
• Participate in performance improvement initiatives, utilization review, and data collection efforts for administrative reporting.
• Conduct 48‑hour post‑discharge follow‑up calls as applicable.
• Advocate for the patient and serve as a liaison between healthcare providers, patients, families, and community resources.
• Assist with readmission assessments and care coordination strategies.
• Keep current with Medicare/Medicaid rules, CMS guidelines, and payer requirements.

Knowledge, Skills, and Abilities

• Advanced understanding of case management principles, patient advocacy, and discharge planning.
• Strong critical thinking, time management, and problem‑solving skills.
• Excellent interpersonal and communication abilities.
• Familiarity with utilization management, payer authorization processes, and EMR systems.
• Capacity to work independently and collaboratively in a high‑pressure environment.
• Commitment to maintaining patient confidentiality and upholding ethical standards.
• Ability to prioritize multiple responsibilities and adjust to changes in work schedule or patient needs.

Qualifications

Education

• Associate Degree in Nursing, required.
• Bachelor of Science in Nursing (BSN), preferred.

Licenses and Certifications

• Current and valid Registered Nurse license in the state of practice or Compact State RN license.
• Basic Life Support (BLS) – required within time frame specified in facility policy.
• Accredited Case Manager (ACM) Certification as required by facility policy.

Experience

• Minimum of 1–2 years of clinical experience in an acute hospital, clinic, home health, hospice, or mental health facility, required.
• Previous case management experience preferred.