Case Manager, Registered Nurse; RN

Case Manager, Registered Nurse (RN)

Job Type: FT | Days

At Highpoint Health Sumner we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you’re not just valued as an employee, but as a person. As a registered nurse (RN) joining our team, you’re embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

You’ll make an impact by utilizing your specialized plan‑of‑care intervention and serving as a patient‑care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting‑edge technology to directly impact patient wellbeing.

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:

• Comprehensive medical, dental, and vision plans, plus flexible‑spending and health‑savings accounts
• Competitive paid time off for full‑time employees
• Income‑protection programs, such as life, accident, critical‑injury insurance, short‑ and long‑term disability, and identity theft coverage
• Tuition reimbursement, loan assistance, and 401(k) matching
• Employee assistance program including mental, physical, and financial wellness
• Professional development and growth opportunities

Case Manager, Registered Nurse - Non‑Exempt Position Summary

Monitors and manages patient care to promote continuity of care, optimal outcomes, patient satisfaction, cost efficiency, and regulatory compliance. Collaborates with the multidisciplinary team, payors, and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of Department.

• Consults regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care, including admission, length of stay, transfers, and discharge.
• Monitors patient and family satisfaction; responds to questions and complaints from patients, families, and payors.
• Leads and coordinates discharge planning, including patient transfers to other facilities and referrals to community resources; provides discharge education.
• Performs chart reviews to identify and address issues related to service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
• Communicates effectively with providers, payors, and ancillary services to remove barriers and ensure timely care progression.
• Accurately documents case management activities, plans, and outcomes.
• Participates in performance improvement and required continuing education.
• Supports department operations by working alternate shifts/units as needed; may be assigned on‑call.
• Performs other duties as assigned.

Patient Populations Served:
Neonate, Infant, Early Childhood, Late Childhood, Adolescent, Young Adult, Middle Adult, Older Adult. Protected Health Information Accessed:
Demographic, Clinical, Insurance, Financial, Complete Medical Record. Exposure:
Occupational exposure to blood borne pathogens may be present. Physical Requirements (typical):
Frequent keyboard data entry, sitting, standing, walking, and repetitive hand/arm movements; occasional kneeling, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing or running. Vision demands include near/far vision and depth perception (constant); color distinction frequent; smell and taste rarely required.

Applicants should have a current State of Tennessee or Multi‑State Registered Nurse licensure and possess an associate or bachelor's degree or RN Diploma in Nursing.

Additional requirements include:

• BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) - Required to be current upon hire.

Highpoint Health Sumner is a 167‑bed hospital located in Gallatin, TN and is part of Lifepoint Health, a diversified healthcare delivery network…