Full Time Registered Nurse - Case Manager

Summary Join our dedicated team at Williamson Health, a thriving regional healthcare system committed to delivering exceptional care. With over 2,300 employees and 30 locations, we offer a collaborative and inclusive work environment where your talents can shine. We provide world-class services in various specialties, ensuring that you can grow your skills and make a difference in the lives of our community. As a Registered Nurse Case Manager, you will play a vital role in managing patient care through a multidisciplinary team approach. Your expertise will guide resource management and discharge planning, ensuring optimal care and reimbursement for hospital services. At Williamson Health, your contributions matter, and you will have the opportunity to support and empower patients throughout their healthcare journey. We take pride in our values: respect for individuals, compassion, and integrity. Join us in our mission to provide high-quality, culturally competent care to every patient and family. Benefits: Comprehensive medical, dental, and vision plans PTO for work-life balance Retirement matching options Tuition reimbursement for professional growth Various discount programs Flexible Spending Accounts (FSA) Identity Theft Protection and Legal Aid Position Summary: Your role will involve performing Case Management and Utilization Management activities, facilitating comprehensive care for all patients. You will be responsible for the timely review of clinical information to meet governmental regulations and insurance guidelines, ensuring accurate reimbursement while supporting Williamson Health's mission. Position Requirements: Current Registered Nurse license in Tennessee. Preferred experience in Emergency Room or Critical Care. Case Management Certification within 3 years of employment. Nursing diploma or degree from an accredited institution. Work Experience: 5+ years of related experience in a hospital or managed care setting is required. Previous utilization or case management experience is preferred. Skills and Training: Strong clinical knowledge in medical/surgical nursing or critical care. Excellent organization, time management, and critical thinking abilities. Effective communication skills, both verbal and written. Proficiency in reviewing and interpreting medical records. Familiarity with Meditech, Allscripts, and basic computer operations. Knowledge of governmental and insurance guidelines related to case management compliance. Positive attitude and adaptability to new processes. Physical Environment: Office and clinical environment with potential exposure to pathogens. Physical Effort: Ability to use telephones and computers for extended periods, capable of walking/standing up to 2 hours per day. Performance Standards: Exhibit effective time management with assigned workload. Timely reviews of patients and efficient documentation of care. Maintain precise, effective communication regarding patient care and discharge planning. Proactively initiate appeals and process management for patient admissions. Ensure compliance with all organizational processes and standards.

Created: 2026-03-12