RN Case Manager

Riverview Regional Medical Center; Gadsden (AL); On-site; USD 65,000 - 85,000; Part time

Job summary

Riverview Regional Medical Center in Gadsden, AL is seeking an RN Case Manager to coordinate patient care from admission through discharge, ensuring quality and cost-effective outcomes.

You will assess needs, develop care plans with the care team, manage transitions, discharge planning, utilization review, and help patients navigate insurance and healthcare systems.

This per diem/PRN position requires strong collaboration with physicians, nurses, social workers, and other providers.

Qualifications

• Valid State RN license is required.
• BSW or other bachelor’s degree in a related field.
• Current CCM or plan to obtain within 6 months of hire.
• Experience with basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hire and maintain current.

Responsibilities

• Assess patients’ needs at admission and throughout their stay.
• Develop and implement individualized care plans with the healthcare team.
• Coordinate safe discharge plans, including referrals to rehab, home health, or long-term care.
• Monitor utilization of hospital resources to ensure appropriate care and minimize unnecessary treatments.
• Educate patients and families on care plans, post-discharge instructions, and available resources.
• Advocate for patient needs and preferences to align with goals and values.

Skills

Valid State RN License

Current CCM

Computer skills

Behavioral Violence Prevention

Education

BSW or related Bachelor's degree

Job description

Employment Status

Per Diem

Overview

Shift(s) Available: Day

Employment Type: Per Diem/PRN

Hours: 8-hour shift (weekends only)

Location: Riverview Regional Medical Center – Gadsden, AL

We are seeking a 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 help patients navigate insurance and healthcare systems.

Responsibilities

• Patient assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay.
• Care coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions.
• Discharge planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities.
• Utilization review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays.
• Patient and family education: help patients and families understand care plans, post-discharge instructions, and available resources.
• Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values.

Qualifications

• Valid State RN License
• BSW or other Bachelor degree in a related field
• Current CCM or obtained within 6 months of hire
• Experience and knowledge in basic to intermediate computer skills
• Behavioral Violence Prevention Training within 3 months of hire and maintain current

Additional Qualifications That Are a Plus

• Minimum 5 years of acute care experience
• At least one-year experience in case management, discharge planning or management
• Current BLS (AHA) certificate
• Knowledge of Milliman Criteria and InterQual Criteria
• BCBS of Alabama Interqual Jiva Experience Required

Benefits

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Equal Employment Opportunity

Company 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, 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: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf