Manager, RN Case Management

20 hours ago

Elkton MD United States Direct Staffing Inc Full time

This position has oversight and management of daily operations of the Case Management Department for the utilization management and care transition functions. The scope of this role includes denials management, minimizing clinical denials and facilitating reimbursement of services, management of payer requirements, and supporting regulatory compliance issues. This position also manages the daily operations of the assigned areas of responsibility. Must be an RN either Maryland licensed or Compact state.

Skills and Certifications
  1. Case Management
  2. Knowledge of payor mix in Maryland
  3. Meditech
  4. Must have Hospital Experience
Ideal Candidate

Must have excellent management skills and experience. Self-starter. Collaborative, works well with Nursing staff and physicians. Innovative.

Ideal Candidate Should Have Worked For The Following Company(ies)

Non-profit Hospitals, Health Insurance Companies or Health Systems.

Why We're A Great Company

Offer excellent benefits and compensation. Values-based leadership. Committed to our community and quality of care.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Direct Staffing Inc

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