RN Plan Case Manager Albany

Job Summary

The RN Plan Case Manager at PruittHealth in Atlanta, Fulton County oversees clinical care management for the Premier Dual Eligible Special Needs Plan (DSNP) population. This role coordinates health services and social support to help members achieve optimal health outcomes.

Key Responsibilities

• Provide comprehensive case management for community‑based long‑term care members.
• Collaborate with physicians, nurses, therapists, and social service agencies to develop and implement individualized care plans.
• Monitor member progress, adjust care plans as needed, and ensure adherence to clinical guidelines.
• Facilitate referrals to appropriate community resources and specialty services.
• Analyze utilization data to promote cost‑effective, high‑quality care.
• Maintain accurate documentation in electronic health records and ensure regulatory compliance.
• Educate members and families on disease management, medication adherence, and preventive health measures.

Qualifications & Requirements

• Current active RN license in the state of Georgia.
• Bachelor of Science in Nursing (BSN) preferred.
• Minimum 2 years of experience in case management, long‑term care, or managed care settings.
• Strong knowledge of Medicare/Medicaid Dual Eligible regulations and DSNP programs.
• Excellent communication, negotiation, and interdisciplinary teamwork skills.
• Proficiency with electronic health record systems and data analysis tools.

Compensation & Benefits

Salary: $69,181.80 annually (fixed). Comprehensive health, dental, vision benefits, retirement plan, and paid time off.

Location

Atlanta, Fulton County, Georgia, United States.

Frequently Asked Questions

What type of patients will I manage as an RN Plan Case Manager?

You will manage community‑based long‑term care members enrolled in PruittHealth’s Premier Dual Eligible Special Needs Plan, coordinating medical and social services.

Do I need a BSN to qualify for this position?

A BSN is preferred but not required; a current Georgia RN license and relevant case management experience are essential.

What are the work hours and schedule?

The position is full‑time with standard business hours; occasional evenings or weekends may be required for member outreach.