RN Case Manager

Position: Seeking FT RN Case Manager
Job Description
:

Job Title - RN Case Manager I Special Needs

Available Benefits:
Full

Job Type: Full time/ Permanent
Location - Philadelphia, Pennsylvania



Shift: Day Shift
-5 days M-F

Shift Hours- 8/Day

SALARY Up-to- 95K:
Competitive (Based on years of work experience)

Facility
- Hospital

Responsibilities:

The Case Manager coordinates, manages and procures the discharge needs of patients identified as requiring post acute care services via initial admission screen, assessment and consults. This is achieved by collaboration with the family, the care team including physicians, nursing and other healthcare professionals. The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers to secure appropriate acute care reimbursement within the time requirements of the payer.

The Case Manager appeals 100% of all third party payer denials for acute care reimbursement according to the guidelines for the PA Region. The Case Manager performs ongoing PI/QA during concurrent review to identify quality of care issues, risk management issues, and performs blood/blood products and medication utilization.

Qualification:

Education Requirements

4 year/bachelor's degree

Certification and Licensure

PA Registered Nurse License

Experience:

Relevant Experience

Required Skills:

Computer Skills to include use and navigation.

Excellent Communications Skills

Excellent Interpersonal Skills

Microsoft Word

Should you be interested, please send me a copy of your resume in word format along with the following details ASAP.

Full Name:
Current

Location:

Hourly rate on C2C/W2:
Work Authorization:
Earliest Available date to start:
Date and times available to interview:
Two Professional References:(Preferably Supervisory references)