Reimbursement Integrity Nurse Specialist

2 weeks ago


Langhorne, Pennsylvania, United States Trinity Health Full time
Employment Opportunity

We are seeking a highly skilled Reimbursement Integrity RN to join our Care Management team at St. Mary Medical Center, a member of Trinity Health Mid-Atlantic.

Job Summary

This pool/per diem position is on site at our Langhorne, Pennsylvania hospital. The successful candidate will be responsible for coordinating and facilitating all aspects of reimbursement related to clinical review and level of care.

Key Responsibilities
  • Manage all review and appeals utilizing a modified approach based on specific needs of the patient population.
  • Facilitate achievement of efficient resource consumption and acceptable clinical outcomes through integration and implementation of utilization management.
Requirements

BSN and 2-4 years of experience are required. Case Manager certification is preferred.

About Trinity Health

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. We integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.



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