Case Management

Opportunity:

RN - Case Management

Job Details:

• 8-hour day shift from 8:00 AM to 4:30 PM
• No weekend requirement
• No on-call required
• Must have availability to work 1 holiday
• Block scheduling cannot be accommodated
• 3 years of Case Management experience required
• Acute hospital experience required
• LTAC/Rehab/Skilled Nursing experience required
• Med-Surg and SDU/PCU/IMC/Observation experience required
• Admission criteria review experience required
• Care coordination, discharge planning, and utilization review experience required
• Concurrent review, continued stay, medical necessity, and retrospective review experience required
• Appeals and denials experience required
• InterQual Criteria experience required
• Milliman Guidelines experience required
• Support adult and geriatric patient populations
• Average daily census of approximately 25 patients
• Responsible for administrative oversight of overall Case Management department operations, growth, and development
• Will float within scope based on hospital needs
• Charting system: Epic
• Dress code: Business casual with a white lab coat
• Required certifications: BLS and BSN
• Pennsylvania RN license required
• First-time travelers are welcome