Quality Case Manager (RN) - Full-Time | Days | Drive Clinical Excellence

The Staff Pad has partnered with a respected
healthcare organization in Russellville, AL to hire an experienced Quality Case
Manager – RN to support clinical quality, utilization management, and patient
care initiatives.

This role focuses on concurrent review of medical
necessity, appropriateness, timeliness, and utilization of hospital services
while ensuring compliance with regulatory standards and supporting positive
patient outcomes.

Schedule: Full-Time | Days

What You’ll Do

• Accurately
  abstract and submit eCQM & Core Measure records on time; discuss
  discrepancies with the Quality Resource Management Director prior to submission
  
• Conduct
  concurrent reviews of electronic documentation for eCQM compliance;
  complete assessments and update Plans of Care as needed
  
• Participate
  in the hospital care team, promote high-quality, zero-harm care to
  patients, and document evaluations of nursing intervention & patient responses
  
• Stay
  current on accreditation standards, quality measures, quality reporting,
  clinical outcomes, and performance improvement practices
  
• Maintain
  the knowledge and skills necessary to care for patients of all ages
  
• Attend
  Inpatient/Outpatient Quality Program and value-based quality program
  webcasts and workshops
  
• Provide
  patient care and treatments considering:
  
• Cultural
  diversity
  
• Age-specific
  patient populations
  
• Established
  policies and procedures
  
• Use
  Language Line to provide clear, culturally sensitive communication with
  patients who prefer a language other than English
  
• Recognize
  and address the psychosocial & spiritual needs of patients and their
  families
  
• Follow
  established infection control and standard precaution policies and
  procedures
  
• Maintain
  accountability for physician orders as needed
  
• Adhere
  to designated break and meal times
  
• Complete
  other duties as assigned by Nursing or Hospital Administration
  

What We’re Looking For

Qualifications & Experience

• Current
  RN license in the applicable state
  
• 1–3
  years of RN experience preferred
  
• Critical
  care, ICU, emergency medicine, or Level I/II trauma centers experience
  preferred
  

Additional Requirements

• Proficiency
  with EMR/EHR systems
  
• Knowledge
  of quality measures, healthcare regulations, and HIPAA
  
• Strong
  patient assessment and clinical decision-making skills
  
• Understanding
  of medical terminology and clinical documentation
  
• Excellent
  communication and collaboration skills
  
• Commitment
  to patient safety and quality care
  

What You Can Expect

Exceptional patient care starts with a team that feels valued, supported, and empowered - backed by comprehensive compensation and benefits every step of the way

Benefits

• Medical, Rx, Dental, Vision, Life & AD&D Insurance
  
• Retirement Plans
  
• PTO, Leave of Absence
  
• Maternity/Disability Leave
  
• Flexible Spending Account
  

Ready to take your nursing career in a new
direction? Apply today and make a difference in the quality of patient care.

Bring your nursing expertise to a role where your
clinical knowledge can help strengthen care processes, support regulatory
excellence, and improve patient outcomes. Join a team that values
collaboration, accountability, and meaningful contributions to healthcare
quality.