RN Case Manager

ID: Shift: Day 5x8-Hour (08:00 - 16:30) Description: CASE MANAGER 5 8 HR (08:00 - 16:30)3 YEARS EXPERIENCE REQUIRED1ST TIMERS OKAY!PATIENT AGE GROUP- ADULTS- GERIATRICSSTAFFING RATIO- 1:35NO WEEKENDS!MED SURG UNITCase Management experience in an acute care setting and Bachelors Degree are need to be proficient in utilization review and denials - BLS REQUIRED- CASE MANAGEMENT CERT*- BACHELORS REQUIRED40 HOURS OF ORIENTATION Modified Time:7/27/2026 7:00:00 AM Account Manager: Anson Frederick Account Manager Email: COVID-19 Vaccine: Required - No Exemptions Flu Vaccine: Required - Medical Exemptions Only Submittals:Low Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 3 Patient Ratio Experience : Charting System Experience : - Charting System Name : Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS Case Management Cert* Bachelors DegreeSkills : Acute Hospital Admission Criteria Admission Criteria Appeals and Denials Appeals and Denials Audits Audits Benefits Eligibility Care coordination Concurrent Review Concurrent Review Continued Stay Reviews Continued Stay Reviews CPT (Current Procedural Terminology) coding and billing Data Abstraction Data Abstraction Determine Medical Necessity per Evidence-Based Guidelines Disability case management Discharge Planning Disease management Medical Necessity Needs Assessment/ Order DME Plan of Care Pre-Cert Review Pre-Cert Review Prior Authorization Prior Authorizations Quality Improvement Retrospective Review Retrospective Review Utilize InterQual Criteria Utilize InterQual Criteria Utilize Milliman Guidelines Utilize Milliman Guidelines Worker s comp case management CM in Acute Care/Med-Surg Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : 35 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : none Pre-Approved Time Off : - Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults Geriatrics Daily Census : 117 Number of Visits Per Day : 1 Number of Rooms : - Number of Beds : 40 Additional Unit Information Interdisciplinary Support : Social Services Patient Diagnoses : - Special Procedures/Unit Details : Med Surg Special Equipment : - #Tier2 Travel Compliance Clinician should log into their MA online portal to itemize all items being received by the board and send snip to recruiter. SSN DOB RTO at time of submission Able to submit to 3 jobs at a time 2 years required Traveler must have MA license in hand Standard contract length is 14 weeks Copy of Certifications Cerner experienced preferred but not required Background Policy to be evaluated on a case by case basis. Return Staff must wait a 1 year period before eligible to return as a traveler Submittal Details: #Tier2 Travel ComplianceClinician should log into their MA online portal to itemize all items being received by the board and send snip to at time of submissionAble to submit to 3 jobs at a time2 years required Traveler must have MA license in handStandard contract length is 14 weeksCopy of CertificationsCerner experienced preferred but not requiredBackground Policy to be evaluated on a case by case Staff must wait a 1 year period before eligible to return as a traveler Guaranteed Hours: Contract Weeks:91