RN Case Management Supervisor

We are seeking a RN Case Management Supervisor, also referred to as our RN Case Management and Utilization Review Supervisor or RN Care Coordination and Utilization Review Supervisor. The Case Management Supervisor provides daily leadership and oversight to Social Worker Case Managers, RN Case Managers, UR Techs, and Discharge Planners while supporting quality patient care across the full continuum of care. The Case Management Supervisor partners with the Medical Review Coordinator on peer-to-peer reviews, outcomes, and appeal requests while promoting cost effective care, medical necessity review, and seamless coordination between healthcare providers.

Shifts Available: Days

Employment Type: Full-Time

Hours: 8-hour shifts

Location: Providence Medical Center – Kansas City, KS

Here are some of the benefits of working at Prime Healthcare:

• Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Essential Duties and Responsibilities (includes, but not limited to):

• Supervise case management staff including Social Worker Case Managers, RN Case Managers, UR Techs, and Discharge Planners
• Provide oversight of patient care coordination from admission through discharge planning
• Partner with the Medical Review Coordinator on peer-to-peer reviews, outcomes, and appeal requests
• Support quality, clinical, and cost-effective outcomes for all admitted patients
• Review medical records for admission and concurrent review requirements
• Apply MCG, Milliman, and InterQual criteria to evaluate medical necessity, intensity of service, and severity of illness

Before we go any further, we do have some deal-breakers. You must have: 

• Licensed clinician in your state
• At least one-year experience in case management, discharge planning or management

Additional Required Knowledge, Skills & Abilities:

• Experience and knowledge in basic to intermediate computer skills 

Preferred qualifications:

• CCM or obtained within 1year
• Minimum 5 years of acute care experience
• Current BCLS certificate preferred
• Knowledge of Milliman Criteria and InterQual Criteria preferred 

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/