RN Case Manager PRN Days

Position Summary

Baptist Health Shelby Hospital

Promotes and facilitates effective use of hospital resources. Assists with planning an individual comprehensive case management plan addressing patient/family needs and transition to the next appropriate level of care.

Join our Growing Team at Baptist Health Shelby Hospital in Alabaster, AL!

At Baptist Health Shelby Hospital, we’re proud to be a leading 252 bed acute care facility dedicated to delivering exceptional healthcare with a community-focused touch. Located in the heart of Alabaster- one of Alabama’s fastest growing and most desirable places to live- we serve over 30,000 emergency visitors annually and offer a wide range of advanced clinical services, including cardiology, cardiovascular surgery, orthopedics, urology, robotics surgery, and more.

Our State-of-the-art facilities feature cutting-edge technology such as 3 Tesla MRI, robotic surgical systems, and 256-slice CT scanner- empowering top tier care. Recognized for excellence with accolades like ACC Cath Lab Accreditation, Transcatheter Valve certification, and Primary Stoke Center Designation, we’re committed to growth, innovation, and community well-being.

Whether you’re an experienced specialist or just beginning your healthcare journey, Baptist Health Shelby offers a dynamic environment where your skills make a real difference. Join us in a welcoming, fast-paced setting with easy commutes, ample free parking, and a team that feels like family. Be part of a hospital that’s shaping the future of healthcare in Alabama- Where your career can thrive and your community can flourish!

Baptist Health Shelby Hospital’s Geriatric Psychiatric (Geri Psych) Floor is a 20-bed inpatient psychiatric unit dedicated to providing comprehensive care for patients with complex mental health and medical needs. Our unit is committed to delivering compassionate, interdisciplinary care in a safe and secure environment tailored to meet the unique lifestyle requirements of each patient, regardless of age.

The unit offers a diverse range of specialized services, including medical management, social work support, recreational therapy, and case management. While patients are admitted to the Geri Psych Floor, the nursing team plays a central role in providing holistic care, addressing both psychiatric conditions and co-occurring medical comorbidities to promote optimal recovery and quality of life.

Key highlights of the unit include:

• 20-bed capacity ensuring personalized care.
• Interdisciplinary approach involving medical professionals, social workers, recreational therapists, and case managers.
• Focus on treating both psychiatric and medical comorbidities for comprehensive patient care.
• Emphasis on safety, security, and therapeutic support to foster a healing environment.

This unit is ideal for professionals who thrive in a dynamic, collaborative setting and are passionate about delivering high-quality mental health and medical care to a diverse patient population

Apply today to connect with a recruiter and let us help you find your perfect fit!

Responsibilities

Essential Functions • Initially and concurrently assesses all patients within assigned population to include but not limited to admitting diagnosis/medical history, current treatments/therapies, age, payment source, criteria compliance, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/personal needs, and other relevant information. • Assigns working DRG and GMLOS, while concurrently monitoring and managing LOS, as appropriate (determined by medical necessity using Interqual guidelines). • Develops collaborative relationships with patient/family, patient business, nursing staff/leadership, physicians, social workers, care coordinators, and ancillary services to facilitate optimal patient outcomes and efficient movement through the continuum of care. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Acts as an advocate for patient’s health care needs. • Performs admission and concurrent utilization review in compliance with review requirements for Managed Care contracts, governmental payors (i.e. Medicare, Medicaid, and Champus) and departmental review policies; adheres to Utilization Management Plan. • Communicates in an appropriate and timely manner with interdisciplinary team to coordinate/evaluate plan of care.

• Communicates with third party payers and external care team as appropriate/necessary. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for process improvements related to case management activities. • Maintains positive relationships with peers, collaborative team, outside reviewers, and post-acute providers.

• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures

Other Related Functions • Demonstrates awareness of medical/ legal issues, patient rights and compliance with standards of regulatory and accrediting agencies. • Serves as a facilitator to physician, nursing staff/leadership and ancillary services (physical therapy, respiratory therapy, clinical social work, care coordination, etc.). • Maintains records and documentation of work performed in a timely, organized, and easily retrievable fashion. • Reviews current literature on a regular basis; stays current on changes in policies/procedures, maintains reference materials and updates as required, and keeps abreast of relevant reimbursement information. • Assumes responsibility as a self-directed professional for ongoing education, based on individual identified needs. • Actively serves on committees and task force teams to promote quality, cost-effective care for patient population. • Maintains positive relationships with outside reviewers and other payer representatives. • Forwards identified quality and/or risk issues to appropriate person.

Qualifications

Education/Training • Must have one of the following to be in this role:• Bachelor of Science in Nursing degree (BSN) • Associate of Science in Nursing (ASN) • Be a Diploma Nurse with 5 or more years of applicable/related experience.

Licensure/Certification • Maintains license as an RN in the State of Florida. • Maintains current BLS/ healthcare provider certification.

Experience • Three (3) years of experience in chronic disease management, case management, utilization management, or acute clinical care.