RN Case Mgr - Highlands Case Management - FT - 1st Shift

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

Overview

The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services.

Responsibilities

Accurately identifies through chart review of SI/IS for admit and continued stay. Competently coordinates the overall discharges planning and social services function ensuring compliance with federal and state laws and Joint Commission of Accreditation of Hospital. Successfully ensures patients receive recommended follow-up services. Appropriately maintains a liaison with community agencies offering services to discharge patients. Professionally maintains rapport with physicians, co-workers, representatives of other organizations, and departments.

Qualifications

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

About Us

Highlands Medical Centeris a 170-bed hospital located in Scottsboro, offering a wide variety of emergency, inpatient and outpatient services to support the wellness of our community. A part of the Huntsville Hospital Health System, HMC has the strength of a collaborative group of high-performing hospitals across North Alabama to share information, processes, ideas and best practices for continual enhancements to the care and services offered to meet the health care needs of our diverse community.Accredited by the Joint Commission, Highlands Medical Center stands out as one of the top-rated healthcare providers in the state.

In addition to Highlands Medical Center, the system provides many services through owned-entities across the community - Highlands Family Medicine, Highlands Home Health, Highlands Occupational Medicine,Highlands Surgical Services, Jackson County Family Medicine, Scottsboro OB-GYN, Highlands Pediatrics, and Highlands Health & Rehab and Cumberland Health & Rehab, two rehabilitation and long-term care nursing homes. With over 720 employees, HMC is one of the largest employers in Jackson County.