Case Manager RN

2 weeks ago

Riverdale, Georgia, United States Southern Regional Medical Center Full time
Overview:

Southern Regional Medical Center, a member of the Prime Healthcare Foundation, is seeking a dedicated and compassionate Case Manager Registered Nurse to join our award-winning team. As a Case Manager RN, you will play a vital role in promoting quality and cost-effective care for our patients.

Our hospital is a non-profit, 331-bed full-service hospital serving the residents of Clayton County and southern crescent metro Atlanta communities. We offer a complete line of services, including Senior Care and Senior Behavioral Health Services, Emergency Services, Heart and Vascular, Advanced Imaging, Laboratory, Neuroscience Services, Rehabilitation, Sleep Diagnostic Center, Surgery/Robotic Surgery, Wound Care, and Women's Health Services, including a Level III NICU.

We are certified and accredited as a Chest Pain Center and Primary Stroke Center. Our team is committed to making a difference in the lives of our patients and their families.

Responsibilities:

As a Case Manager RN, you will be responsible for the quality and resource management of all patients admitted to the facility from the point of admission and across the continuum of healthcare management.

You will work on behalf of the advocate, promoting cost containment and demonstrating leadership to integrate healthcare providers to achieve a seamless delivery of care.

You will perform a holistic and comprehensive admission and concurrent review of the medical record for medical necessity, intensity of service, and severity of illness.

Qualifications:

We are seeking a candidate with a minimum of 5 years of work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.

Grandfathered prior to April 1, 2015, or minimum 5 years post-graduate of an accredited school of social work for Licensed Clinical Social Worker. However, RN Case Manager is preferred.

Five years of acute care nursing experience is preferred, as well as at least one year of experience in case management, discharge planning, or nursing management.

We require a current BCLS (AHA) certificate upon hire and maintain current. Knowledge of Milliman Criteria and InterQual Criteria is preferred. Experience and knowledge in basic to intermediate computer skills are also required.

Equal Opportunity Employer:

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.

If you need special accommodation for the application process, please contact Human Resources.

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