Overview We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our healthcare team. The ideal candidate will be responsible for coordinating patient care, ensuring that patients receive appropriate services in a timely manner, and advocating for their health needs. This role requires a strong understanding of hospital medicine, patient assessment, and case management to effectively manage acute care situations and support patients through their healthcare journey.
Qualifications Years of Experience: 2 year(s)
Required, Epic
Travel Experience Required: Yes
Shift: Day 5x8-Hour (08:00 - 16:30)
Job Duration: 13 weeks
Job Types: Full-time, Contract
Skills: Work Settings
Acute Hospital
Case Management/Utilization Review
Admission Criteria
Appeals and Denials
Benefits Eligibility
Care coordination
Discharge Planning
Needs Assessment/ Order DME
Prior Authorizations*
Worker’s comp case management*
Regulatory CMS: Centers for Medicare and Medicaid Services
DRG (Diagnosis Related Groups)*
HIPAA guidelines (Health Insurance Portability and Accountability Act)
The Joint Commission/ Core Measure/National Safety Goals
Worker’s Compensation*
Acute Hospital Experience by Specialty ER
ICU
MS
Pediatrics
SDU/PCU/IMC/Obs