Utilization Case Manager Jobs in Atlanta, GA (NOW HIRING)

Registered Nurse Case Manager – Cumming, GA (Forsyth County and North Fulton)

Lead with compassion. Manage with purpose.

Who are we?

Caring for Atlanta for over 77 years, Visiting Nurse Health System is a leading, non-profit provider of home healthcare, long-term care at home, hospice, and palliative care services. We pride ourselves in helping patients and their loved ones receive care at home following an illness, surgery, or hospital stay. We offer not just a job, but we also offer purpose, impact, and the chance to care deeply for people in the comfort of their homes.

Our vision is to be the first choice for patients, families, payers, and other healthcare providers when they need home healthcare services. We look to not only achieve, but to also maintain exemplary patient and employee satisfaction levels. VNHS is dedicated to continuing our investment in strong community partnerships, providing coordinated care solutions, developing a top-performing workforce, and innovating technologies to improve affordability and access to patient care. We aim to be an organization where healthcare professionals not only prefer to work, but where they are able to grow as professionals. For more information on our organization, please visit us here.

Salary: $72,248 - $108,372

Every day we strive to display our four core values:

• Respect & Integrity - We practice the highest ethical standards and honor our commitments. We are fair, transparent, honest and person-centered in all our actions. We value the beliefs and opinions of our diverse community of patients and employees.
• Excellence - We are committed to delivering the best outcomes and highest quality service through the dedicated efforts of every team member. We are committed to continuous improvement in all that we do and strive to be leaders for others to emulate.
• Stewardship - We enhance the lives of those we serve through responsible planning and management of the resources entrusted to us with each of us contributing toward a shared purpose.
• Care – We will provide compassionate person-centered care while respecting individual physical, emotional, and spiritual needs

Job Overview

Visiting Nurse Health System is hiring an RN Case Manager for Home Health who is responsible for coordinating care delivered to a caseload of patients, ensuring care meets quality standards and utilization guidelines. The RN Case Manager assesses, plans, implements, monitors, and evaluates comprehensive plans of care to ensure optimal patient outcomes. This position demands a compassionate, skilled nurse who thrives in a home-based environment and values patient education and family engagement.

What You’ll Do:

• Develop and implement individualized plans of care in accordance with physician orders by assessing patient needs and collaborating with the interdisciplinary team.
• Modify and update care plans as patient conditions change, regularly evaluating their effectiveness.
• Provide patient and family education on disease processes, self-management, and strategies to prevent complications such as hospitalizations.
• Complete and submit OASIS documents, visit notes, and other required records within VNHS timeliness guidelines.
• Communicate changes in patient status clearly with patients, physicians, and team members, documenting appropriately.
• Offer emotional support and connect patients/families with MSW and other community resources as needed.
• Supervise LPNs and HHAs per VNHS policy, ensuring care plans are in place and meet patient needs.
• Participate in SOC/ROC conference calls for new or resuming patients and in weekly team conferences.

• Deliver competent, high-quality care in the home, adhering to VNHS policies and nursing standards.
• Maintain required competencies through in-services and continuing education.
• Schedule patient visits efficiently in accordance with orders and manage case load to optimize productivity.
• Precept newly hired nursing staff and communicate effectively with team and office staff regarding patient status or concerns.

Schedule:

• Full-time

Location:

You’re Perfect for the Position if you:

• Graduated from an accredited nursing program (Diploma, Associate, or BSN preferred).
• Hold current licensure by the Georgia State Board of Nursing and valid CPR certification.
• Possess a valid driver’s license, reliable transportation, and current auto insurance.
• Have prior home health experience if applying as PRN staff.
• Demonstrate knowledge of Medicare, Medicaid, and funding source regulations as applied to home health care.
• Exhibit advanced clinical nursing skills and comfort collaborating with interdisciplinary teams.
• Have proven decision-making, time management, and interpersonal skills, functioning independently in a home environment.
• Are proficient with computers and basic technology for documentation, email, HR systems, and online training.

Why Work for Visiting Nurse Health System?

• Medical, Dental, and Vision insurance
• PTO and Paid Holidays
• 403b Retirement Plan with Company Match
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Life Insurance
• Employee Assistance Program
• Employee Discounts
• Flexible Schedule

Join us in our mission to provide excellent care, comfort, and dignity to our patients!

Visiting Nurse is an equal opportunity employer and does not discriminate against qualified applicants based on race, color, sex, gender, gender identity, gender expression, religious creed, sexual orientation, pregnancy, national origin, ancestry, age, military and veteran status, marital status, physical or mental disability, protected medical condition, genetic information, reproductive health decision-making, lawful off-duty use of marijuana, any other characteristic protected by law, or any combination of two or more of the characteristics listed here. If you need an accommodation to complete an online application, please contact Visiting Nurse at 404-215-6100.

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