RN - Case Management Specialist
3 weeks ago
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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