RN Case Manager: Discharge & Utilization Lead

Huntsville Hospital Health System; Scottsboro, Northern (AL, KY); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Highlands Medical Center in Scottsboro, part of the Huntsville Hospital Health System, is seeking a Case Manager to support utilization review and discharge planning. Responsibilities include chart reviews to determine medical necessity, coordinating discharge planning, and ensuring compliance with applicable laws and Joint Commission standards.

The role emphasizes collaboration with physicians, care teams, and community agencies to ensure appropriate follow-up and streamlined patient

Qualifications

• Associate degree in Nursing required.
• Minimum of three years nursing experience.
• Three years’ experience in case management or utilization management preferred.

Responsibilities

• Identify through chart review of SI/IS for admit and continued stay.
• Coordinate discharge planning and social services to ensure compliance with laws and Joint Commission standards.
• Maintain liaison with physicians, staff, and community agencies.
• Ensure patients receive follow-up services.

Skills

Nursing experience

Case management

Utilization management

Education

Associate degree in Nursing

Job description

Highlands Medical Center in Scottsboro, part of the Huntsville Hospital Health System, is seeking a Case Manager to support utilization review and discharge planning. Responsibilities include chart reviews to determine medical necessity, coordinating discharge planning, and ensuring compliance with applicable laws and Joint Commission standards.

The role emphasizes collaboration with physicians, care teams, and community agencies to ensure appropriate follow-up and streamlined patient