RN - Case Management Specialist

3 weeks ago


El Paso, Texas, United States All Medical Personnel Full time
Job Summary:

As a skilled RN Case Manager, you will play a vital role in coordinating medical care and ensuring the delivery of cost-effective, outcome-oriented, and quality care to patients across the healthcare continuum.

Responsibilities:

- Coordinate medical care and match patient needs and preferences with judicious use of healthcare resources

- Educate physicians regarding InterQual criteria, documentation of patient acuity, and treatment plans, as well as related expectations of regulatory bodies

- Work collaboratively with physicians and other healthcare professionals to deliver cost-effective, outcome-oriented, and quality care in the appropriate healthcare setting

- Integrate, facilitate, and coordinate patient care for high-risk patients across the healthcare continuum

- Ensure the delivery of cost-effective, outcome-oriented, and quality care within an appropriate length of stay

- Manage patient care to prevent fragmentation and duplication of services

Requirements:

- 5-6 years of previous case management experience in an inpatient/acute care hospital setting

- Experience with InterQual and Millman

- Experience with discharge planning

- Experience with all patient populations

- Case Management or Utilization Review Certification (highly preferred)

- MediTech (highly preferred)

Benefits:

- Day 1 health benefits (health/vision/dental)

- Weekly pay

- Direct deposit

- Travel reimbursement

- State license reimbursement

- $1500 referral bonus program

Please reference Job number: 184704

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