About this opportunity
ScionHealth lists this Case Manager - RN opportunity in columbus, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Join St. Francis-Emory Healthcare, a 376-bed community-connected hospital in Columbus, GA, that blends cutting-edge care with hometown purpose. As part of the ScionHealth network, St. Francis has been recognized and awarded multiple high-performing honors by U.S. News & World Report, and received multiple disease-specific certifications from the Joint Commission, and was a rated Top Large Hospital in Georgia. St. Francis also delivers advanced heart, orthopedic, and women’s care services. At St. Francis, you will experience a culture of excellence where your work directly shapes the health of our community.
Job Summary
The RN-Case Manager is responsible for assessing, planning, coordinating, and monitoring the healthcare services and resources necessary to meet the individual needs of patients. This role ensures effective case management processes that promote optimal patient outcomes, quality of care, regulatory compliance, and cost efficiency across the continuum of care.
Essential Functions
Reviews clinical documentation and coordinates care across departments to ensure medically necessary services are provided in a timely and cost-effective manner
Performs discharge planning by identifying patient needs and arranging post-discharge services including home health, medical equipment, and rehabilitation
Collaborates with interdisciplinary team members, physicians, patients, and families to support quality care and safe transitions
Communicates with insurance providers and payers for authorization and continued stay approvals
Documents all activities, decisions, communications, and patient education in the EMR
Participates in performance improvement initiatives, utilization review, and data collection efforts for administrative reporting
Conducts 48-hour post-discharge follow-up calls as applicable
Advocates for the patient and serves as a liaison between healthcare providers, patients, families, and community resources
Assists with readmission assessments and care coordination strategies
Keeps current with Medicare/Medicaid rules, CMS guidelines, and payer requirements
Knowledge/Skills/Abilities/Expectations Advanced understanding of case management principles, patient advocacy, and discharge planning
Strong critical thinking, time management, and problem-solving skills
Excellent interpersonal and communication abilities
Familiarity with utilization management, payer authorization processes, and EMR systems
Capacity to work independently and collaboratively in a high-pressure environment
Commitment to maintaining patient confidentiality and upholding ethical standards
Ability to prioritize multiple responsibilities and adjust to changes in work schedule or patient needs
Qualifications
Education Associate Degree in Nursing, required
Bachelor of Science in Nursing (BSN), preferred
Licenses/Certifications Current and valid Registered Nurse license in the state of practice or Compact State RN license
Basic Life Support (BLS) - required within time frame specified in facility policy
Accredited Case Manager (ACM) Certification as required by facility policy
Experience Minimum of 1-2 years of clinical experience in an acute hospital, clinic, home health, hospice, or mental health facility, required
Previous case management experience preferred
Worksite address
columbus, GA, 31900, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.