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Prn Rn Case Manager Jobs in Lexington, KY (NOW HIRING)

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$19

$47

$79

How much do prn rn case manager jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for prn rn case manager in Lexington, KY is $47.24, according to ZipRecruiter salary data. Most workers in this role earn between $35.14 and $57.12 per hour, depending on experience, location, and employer.

What is a PRN RN case manager?

A PRN RN Case Manager is a registered nurse who works as needed (PRN stands for 'pro re nata,' meaning 'as the situation arises') to coordinate patient care, often across different healthcare settings. They assess patient needs, develop care plans, and collaborate with doctors, social workers, and other healthcare professionals to ensure quality, cost-effective care. PRN roles offer flexible scheduling, allowing nurses to work only when required, which is ideal for those seeking work-life balance or supplemental income. This position requires strong communication, organizational, and critical thinking skills.

How does the PRN RN case manager role differ from a full-time case manager in terms of responsibilities and scheduling?

As a PRN (pro re nata or 'as needed') RN Case Manager, you typically have a more flexible schedule and may be called in to cover shifts, handle surges in patient volume, or assist during staff shortages. While your core responsibilities—such as coordinating patient care, facilitating discharge planning, and collaborating with interdisciplinary teams—remain the same as those of full-time Case Managers, you may see more variety in patient assignments and need to quickly adapt to different units or caseloads. This role often requires strong organizational skills and the ability to integrate seamlessly into existing workflows, making adaptability and effective communication especially important.

What are the key skills and qualifications needed to thrive as a PRN RN case manager, and why are they important?

To thrive as a PRN RN Case Manager, you need a current RN license, strong clinical assessment skills, and experience in case management or care coordination. Familiarity with case management software, electronic health records (EHRs), and possibly certification such as CCM (Certified Case Manager) is typically required. Excellent communication, organizational skills, and the ability to work independently make someone stand out in this position. These competencies are crucial to ensure effective patient care planning, resource management, and optimal health outcomes in a flexible, as-needed role.

What is the difference between Prn Rn Case Manager vs Full-Time Rn Case Manager?

AspectPrn Rn Case ManagerFull-Time Rn Case Manager
Work ScheduleAs needed, flexible hoursRegular, scheduled hours
CertificationsRN license, case management certification preferredRN license, case management certification preferred
Work EnvironmentHospitals, clinics, home healthHospitals, clinics, home health
Employer UsageUsed for staffing flexibilityUsed for ongoing patient management

Prn Rn Case Managers work on an as-needed basis, providing flexibility for staffing and fluctuating patient needs. Full-Time Rn Case Managers have scheduled hours and ongoing responsibilities. Both roles require RN licensure and often similar certifications, but differ mainly in scheduling and employment structure.

What cities near Lexington, KY are hiring for Prn Rn Case Manager jobs?

Cities near Lexington, KY with the most Prn Rn Case Manager job openings:

Prn Rn Case Manager jobs near you
Infographic showing various Prn Rn Case Manager job openings in Lexington, KY as of August 2026, with employment types broken down into 13% As Needed, 62% Full Time, 19% Part Time, and 6% Contract. Highlights an 100% In-person job distribution, with an average salary of $98,267 per year, or $47.2 per hour.

Nurse Case Manager - Case Management - Part Time - Weekends

Ephraim McDowell Health

Danville, KY • On-site

Part-time

Posted 14 days ago

Job description

JOB SUMMARY
The Nurse Case Manager is responsible for coordinating and facilitating patient care throughout the continuum of care. Working collaboratively with providers, nursing staff, patients, families, payers, and community resources, the Nurse Case Manager promotes safe, efficient, quality, and cost-effective care. Primary responsibilities include care coordination, utilization management, discharge planning, patient advocacy, regulatory compliance, and transition-of-care management. The Nurse Case Manager demonstrates and upholds the Organization's F.I.R.S.T. values of Friendliness, Innovation, Respect, Service, and Trust.
ESSENTIAL FUNCTIONS, DUTIES, AND RESPONSIBILITIES
Care Coordination and Resource Management
  1. Assesses patients for discharge planning, transition-of-care needs, and post-acute service requirements.
  2. Coordinates care among providers, nursing staff, ancillary departments, patients, families, and external agencies to ensure continuity of care.
  3. Identifies barriers to care for progression and discharge and implements interventions to facilitate timely resolution.
  4. Participates in interdisciplinary rounds, patient care conferences, and care planning activities.
  5. Facilitates evidence-based care delivery and appropriate utilization of healthcare resources to support optimal patient outcomes.

Utilization Management and Length of Stay Oversight
  1. Performs admission, concurrent, and continued stay reviews using approved medical necessity criteria and payer guidelines.
  2. Reviews admission status and level-of-care determinations to ensure appropriate patient classification.
  3. Collaborates with providers and Physician Advisors regarding medical necessity, admission status, documentation requirements, and level-of-care concerns.
  4. Escalates cases that do not meet established criteria for Physician Advisor review and recommendation.
  5. Monitors avoidable days, identifies barriers to discharge, and implements strategies to improve patient throughput and optimize length of stay.

Discharge Planning and Transition Management
  1. Conducts comprehensive discharge planning assessments in collaboration with the discharge planner and interdisciplinary team.
  2. Coordinates referrals and arrangements for post-acute services, including but not limited to: Home Health Services, Skilled Nursing Facilities (SNF), Inpatient Rehabilitation Facilities (IRF), Long-Term Acute Care Hospitals (LTACH), Durable Medical Equipment (DME), Hospice and Palliative Care Services
  3. Ensures patients and families are provided freedom of choice regarding post-acute providers in accordance with regulatory requirements.
  4. Facilitates safe, timely, and effective patient discharges.

Patient and Family Education
  1. Educates patients and families regarding discharge plans, available resources, insurance benefits, and care transitions.
  2. Promotes patient participation in care planning and advocates patient preferences while balancing clinical and payer requirements.
  3. Provides education regarding community resources and post-discharge support services.

Regulatory Compliance and Documentation
  1. Ensures compliance with CMS Conditions of Participation, Medicare regulations, Medicaid requirements, and payer guidelines.
  2. Delivers and documents required patient notices, including but not limited to: Important Medicare Message (IMM) Medicare Outpatient Observation Notice (MOON)
  3. Maintains accurate, timely, and complete documentation within the electronic medical record.
  4. Participates in audits, surveys, and compliance reviews as assigned.

Communication and Collaboration
  1. Communicates effectively and professionally with patients, families, providers, payers, and interdisciplinary team members.
  2. Promotes teamwork and collaboration to achieve positive patient outcomes.
  3. Maintains professionalism and composure during challenging situations.
  4. Serves as a positive role model and supports organizational initiatives, goals, and performance improvement activities.
  5. Professional Accountability and Quality Improvement
  6. Demonstrates professional, ethical, and clinical accountability in all aspects of practice.
  7. Maintains and expands professional knowledge and competencies related to case management and care coordination.
  8. Participates in quality improvement initiatives designed to enhance patient outcomes, resource utilization, throughput, and care coordination.
  9. Identifies opportunities to improve efficiency, reduce costs, and enhance the patient experience while maintaining quality standards.
  10. Participates in onboarding, mentoring, and educational activities as appropriate.

WORKING CONDITIONS, HAZARDS, AND PHYSICAL EFFORT
Primarily light work requiring the ability to move or position up to 10 pounds. Requires prolonged periods of sitting, standing, walking, and computer use. Works primarily in a climate-controlled office environment but is required to visit patient care areas and other departments for patient assessments, care coordination, meetings, and related activities.
CONTACT WITH OTHERS
Frequent interaction with physicians, nursing staff, department leaders, ancillary departments, patients, families, payers, Physician Advisors, utilization review personnel, community agencies, post-acute providers, and referral sources.
EQUIPMENT USED / SPECIAL SKILLS REQUIRED
  • Proficient computer and electronic medical record (EMR) skills.
  • Preferred knowledge of Meditech or equivalent healthcare information systems.
  • Knowledge of medical terminology, diagnoses, payer requirements, and medical necessity criteria.
  • Strong organizational, critical thinking, communication, and interpersonal skills.
  • Ability to effectively collaborate with physicians, healthcare professionals, community agencies, and insurance representatives.

Minimum of three (3) years of healthcare experience required. Previous experience in case management, utilization review, discharge planning, or care coordination preferred.

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