RN Case Manager

Prestige Staffing; Atlanta (GA); On-site; USD 85,000 - 95,000; Full time

Job summary

Prestige Staffing is seeking an RN Case Manager to provide comprehensive patient assessment, care coordination, discharge planning, and length-of-stay management. The role partners with physicians, patients and families, nursing, utilization review, and the interdisciplinary team to support safe transitions of care across the care continuum.

The position may support neonate through geriatric populations and provides cross-coverage as needed; active Georgia RN license required, CCM/ACM preferred.

Qualifications

• Active RN license in Georgia.
• Associate degree; Bachelor’s degree preferred.
• CCM or ACM certification preferred.
• 3–5 years of direct patient care and/or case management experience.
• 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.

Responsibilities

• Monitor patients on assigned units to ensure appropriate resource utilization and 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 for 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.

Skills

Observation

Analytical thinking

Problem-solving

Oral/written communication

Self-direction

Education

Associate degree

Bachelor’s degree preferred

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 elevate 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