Case Management Manager RN

About the job Case Management Manager RN

Normal Business hours role

Monday to Friday- no weekends

You may work extended hours if needed max 46hr per week.

No Evening or Nights

Sign on 10k depending on interview and experience

Relocation: up to 10k depending on distance and location

Position Summary:

This position requires knowledge of Resource Management, under and over utilization, discharge planning, Medicare and government payer regulations, quality control and process improvement activities as related to Utilization Management. Supports the facility by ensuring effective and efficient utilization review and discharge planning services to all patients, as needed. Assures compliance with requirements or standards pertaining Joint Commission, Local Fl, and CMS.

Oversee and manage the Utilization Management functions and staff.

What you will do in this role:

• You will be responsible for assuring compliance with requirements or standards pertaining to Joint Commission, Local FI, and CMS.
• You will ensure effective, flexible utilization of staff within staffing guidelines, taking into consideration the staffs competency and patient acuity.
• You will evaluate staff performance and work‑related behavior per policies, obtaining information from appropriate personnel utilizing effective coaching to enhance the performance of the employee.
• You will be responsible for managing the Revenue Integrity Department and its staff.
• You will demonstrate effectiveness in planning for future needs by budget preparation on an annual basis, monitoring monthly reports to ensure that the department stays within budget constraints.
• Licensed as a Registered Nurse in the State in which you practice or must hold Compact/Multi‑State RN License.
• Bachelor’s Degree required.
• 2+ years of related experience in an acute care setting required; 1+ years of supervisory/leadership experience.