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Upon completing the Application process qualified candidates will be contacted by one of our representatives to discuss the role applied for as well as other positions aligned with your skills, work experience, and qualifications. This initial consultation is an important opportunity for you to get all of your questions answered and for us to meet your needs as quickly and efficiently as possible.

Job Description

Case Management Registered Nurse - RN

  • Ref: 311350
  • Type:
  • Location: White Plains NY
  • Setting: School District
Opportunity Description

Looking for your next adventure as a Travel RN or Allied Health Professional? We’re here to help you make the perfect match! With over 30 years of experience, our full-service staffing firm specializes in connecting talented healthcare professionals with exciting travel opportunities across the country.

Company Information

Looking for your next adventure as a Travel RN or Allied Health Professional? We’re here to help you make the perfect match! With over 30 years of experience, our full-service staffing firm specializes in connecting talented healthcare professionals with exciting travel opportunities across the country.

Job Duties
  • Completes a comprehensive initial assessment.
  • Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.
  • Performs all transitional planning activities
  • Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.
  • Performs all UR activities per department policy: 
    • Commercial payer reviews
    • Disposition determination
    • Retro/self-audit
    • MC variance
    • Admission clinical review. 
Experience & Skills Required
  • DISCHARGE EXPERIENCE REQUIRED
  • Registered Nurse (RN) NYS license required 
  • PRI Certification 
  • Screen certification strongly preferred 
  • Care Management certification preferred (i.e. CMC, CCM etc.) 
  • 3 years clinical ED, critical care or med/surg experience preferred
  • Previous case management experience preferred
  • Knowledge of healthcare financial, regulatory, and payer issues preferred
  • Knowledge of state, local, and federal programs strongly preferred
  • Experience in use of Milliman/InterQual criteria 
Other Information

#VTCT-RN# #VS-Case Managemetn#

 

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