RN Case Manager: Discharge & Utilization Review

Marshall Medical Centers; Scottsboro (AL); On-site; USD 55,000 - 75,000; Full time

Job summary

Highlands Medical Center is seeking a Case Manager to help develop, plan, coordinate and administer Utilization Review and Discharge Planning activities. The role includes daily chart reviews to determine medical necessity and discharge needs, and coordinating social services for safe transitions.

The ideal candidate holds an Associate degree in Nursing with at least three years of nursing experience, including case or utilization management.

Qualifications

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

Responsibilities

• Identify through chart review the need for admission and continued stay.
• Coordinate discharge planning and social services to ensure compliance with laws and Joint Commission standards.
• Maintain liaison with physicians, social workers, and community agencies for discharge planning.
• Ensure patients receive recommended follow-up services.

Skills

Nursing experience

Case management experience

Education

Associate degree in Nursing

Job description

Highlands Medical Center is seeking a Case Manager to help develop, plan, coordinate and administer Utilization Review and Discharge Planning activities. The role includes daily chart reviews to determine medical necessity and discharge needs, and coordinating social services for safe transitions.

The ideal candidate holds an Associate degree in Nursing with at least three years of nursing experience, including case or utilization management.