Archived listing. The details below describe a past opening.
Job Description
Job Title: RN Case Manager/Care Coordinator Department: Clinical Reports To: Director of Clinical Services FLSA Status: Exempt Approved Date: June 12, 2026
Summary The RN/LPN Case Manager/Care Coordinator is part of a multidisciplinary team, primarily serving the orthopedic population. This role provides telephonic case management/care coordination to orthopedic Total Joint and complex members and partners with patients, providers, and caregivers to support positive outcomes throughout the continuum of care.
Essential Duties and Responsibilities
- Manage a panel of orthopedic total join and complex spine patients throughout a sixty ninety-day episode of care.
- Gather clinical information from the EMR and telephonic health assessments to determine risk stratification, including physical, emotional, psychosocial, and environmental needs.
- Document clinical assessments and care plans in the Pinpoint case management system.
- Educate patients and caregivers on the process and expectations of care throughout the continuum (acute care, inpatient rehab, SNF, LTAC, home care, outpatient).
- Develop and implement care plans throughout transitions of care to ensure patient well-being.
- Collaborate with multidisciplinary team members across acute, post-acute, and outpatient settings to identify needs such as home health care, DME, physical therapy, and community services.
- Follow up on patients at pre-determined intervals and as needed based on patient status.
- Complete and submit all required documentation within established guidelines.
- Evaluate plan of care and revise on an ongoing basis based on patient health status; communicate changes to all disciplines involved in patient care.
- Facilitate transitions of services throughout the continuum of care and identify gaps/barriers in treatment plans to ensure appropriate resources and services.
- Understand Bundled Payment Program design, implementation, management, monitoring, and reporting requirements.
- Maintain confidentiality of patient information per HIPAA; adhere to RN scope of practice per state regulatory guidelines.
- Other duties as assigned.
Qualifications
- Current unrestricted State of Georgia RN/LPN license - required.
- Minimum 2–3 years nursing experience in a hospital setting or telephonic case management experience required.
- BSN preferred; certified case manager and/or discharge planning/outpatient care coordination experience preferred.
- Medicare or Medicare Advantage experience preferred; orthopedic and geriatric experience a plus.
- Proficient computer skills; excellent interpersonal and customer service skills; ability to work independently.
- Knowledge of MS Excel, PowerPoint, Word, and Electronic Medical Records (Athena) software.
Supervisory Responsibilities This position has no supervisory responsibilities.
Certificates, Licenses, Registrations
- Current unrestricted State of Georgia RN/LPN license - required.
Physical Demands & Work Environment The employee is regularly required to sit; use hands to handle or feel; and to talk or hear. The noise level is usually moderate. Travel to satellite locations may be required based on staffing needs.
Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
