Job Title: RN Case Manager
Profession: Registered Nurse
Specialty: Case Management
Duration: 13 weeks
Shift: Day
Hours per Shift: 10
Experience: 3-4 years preferred in RN case management for inpatient general medicine unit
License: Current nursing license required
Certifications: BLS preferred
Must-Have:
Recent experience in case management, utilization management, and discharge planning
Clinical discharge planning and utilization management competency required
Charting experience with Epic preferred
Description:
This position is for an RN Case Manager.
The shift is from 07:00 AM to 05:30 PM, four days a week, Monday through Friday, with variable days off.
The role requires 3-4 years of preferred experience in RN case management for an inpatient general medicine unit.
Clinical discharge planning and utilization management competency are required.
Experience in case management, utilization management, and discharge planning is essential.
Charting experience with Epic is preferred, and no weekends are required.
Business professional attire is required for this position.
On-call duties may be assigned as needed.
Candidates should possess strong skills in acute hospital care, admission criteria, appeals and denials, care coordination, and discharge planning.
Relevant skills include:
Data abstraction and determining medical necessity per evidence-based guidelines.
Familiarity with HIPAA guidelines and quality improvement standards is necessary.
Understanding of the Joint Commission and core measure/national safety goals is expected.
Utilization of interQual criteria is also part of the required expertise.