Job Title
Registered Nurse – Case Management
Location
Philadelphia, PA | Acute Care
Schedule / Job Type
Contract | Days | 5x8-Hour Shifts | 8:00 AM – 4:30 PM | No weekends required | Availability for 1 holiday required
Key Responsibilities
- Provide hospital-based case management services supporting adult and geriatric patient populations with an average daily census of approximately 25 patients
- Perform admission criteria review, concurrent review, continued stay and medical necessity determinations, and retrospective review
- Coordinate care, discharge planning, and utilization review activities to facilitate appropriate patient transitions
- Manage appeals and denials processes in accordance with payer and regulatory requirements
- Apply InterQual Criteria and Milliman Guidelines to support clinical decision-making and documentation
- Float within scope to other units based on hospital needs
Required Qualifications
- Active Pennsylvania RN License required at time of submission
- BSN required
- BLS certification required
- Minimum 3 years of Case Management experience required
- Acute hospital experience required
- Experience in LTAC, Rehab, or Skilled Nursing settings required
- Med-Surg and SDU/PCU/IMC/Observation experience required
- Experience with admission criteria review, care coordination, discharge planning, utilization review, concurrent review, appeals, and denials required
- Proficiency with InterQual Criteria and Milliman Guidelines required
- Charting experience in Epic required
- Local candidates are welcome; a local rate differential applies for candidates residing within 50 miles of the facility
Preferred Experience / Skills
- Experience supporting administrative oversight of case management department operations, growth, and development
- Familiarity with geriatric patient populations in an acute hospital setting
- First-time travelers are welcome to apply
Why Join Us
- Opportunity to work within a well-established case management department at a major academic medical center in Center City Philadelphia
- Engage in a dynamic, multidisciplinary environment supporting complex adult and geriatric patient populations
Benefits
- Day 1 health benefits (medical/dental/vision)
- Weekly pay
- Direct deposit
- $1,500 referral bonus program
About Us
All Medical Personnel is a leading national temporary employment agency for healthcare workforce solutions in the United States. Established in 1990, our staffing business lines place locum tenens, travel nursing, allied health, and clinical laboratory professionals on temporary and temp to hire assignments from coast to coast. Explore our current opportunities and sign up for job alerts:
All Medical Personnel is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by applicable law.