RESPONSIBILITIES:

• Coordinates and oversees each patient's care from admission through post-discharge follow up.
• Maintains communication between the interdisciplinary team, patient/family, and external case managers from payors and other facilities.
• Continuously monitors documentation to meet the guidelines of standards developed by the regulatory agencies.
• Serves as reimbursement specialist.

PREREQUISITES:

• Minimum of five (5) years health care experience, RN/LPN preferred with a specialty certification.
• Effective verbal and written communication skills.
• Previous Utilization Review and/or Case Management experience or training.
• Knowledge of managed care, Medicare, and federal, state, and local regulations.
• Knowledge of growth and development across the life span required

Job Type: Full-time

Pay: $36.00 - $50.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Experience:

• Nursing: 1 year (Preferred)
• Case management: 1 year (Preferred)

License/Certification:

• RN (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: In person