RN Case Manager
Atlanta, GA
Revolution Healthcare Services
5x8 hrs, Days
Referral Bonus

Job Opportunity – Case Management RN – Georgia

Start Date: October 5, 2026

Location: Georgia

Compensation: Details provided to qualified applicants

Schedule: Monday through Friday, no weekends, no call required. Daily census of 20-25 patients. Floating within facility and scope of practice as needed.

Highlights:

• Focus on discharge planning, care coordination, and utilization management for adult and geriatric populations
• Apply Medicare regulatory guidelines including patient choice, IMM notices, and MOON criteria
• Utilize clinical tools such as InterQual and Milliman Guidelines for concurrent and continued stay reviews
• Monday-Friday schedule with no weekend or call requirements
• Opportunity for experienced case management professionals; minimum 3 years required
• Travel assignment with flexibility for pre-approved time off (maximum 7 days, with restrictions during September)

Requirements:

• Active RN license (Georgia or Compact state license required)
• BLS certification required
• Minimum 3 years of case management or utilization review experience
• Previous travel experience required; first-time travelers not accepted
• Proficiency in discharge planning, care coordination, and Medicare/Medicaid regulatory compliance
• Experience with admission criteria, DRG, CPT coding, and HIPAA guidelines
• Knowledge of InterQual and Milliman Guidelines preferred
• EMR/charting system experience required
• Community hospital experience preferred

Why It's a Great Opportunity:

This case management role offers the chance to make a meaningful impact on patient outcomes by coordinating comprehensive discharge plans and ensuring appropriate levels of care. You'll work independently within a structured weekday schedule, applying your expertise in utilization review and regulatory compliance to support quality patient care. Join a team that values clinical excellence and collaborative care coordination in a dynamic healthcare environment.