What are the responsibilities and job description for the Manager of Case Management position at Healthcare Recruitment Partners?

Job Description

RN Manager of Case Management

Greater Las Vegas, Nevada

Qualifications :

Registered Nurse required
Bachelor Nursing Degree required
Master's Degree preferred
Manager of Case Management experience in an Acute Hospital Setting

Responsibilities :

Care Management principle related to eligibility, authorizations, admission assessment, concurrent / retro-eligible review, denials and appeals

InterQual and basic understanding of Milliman Care guidelines

Supervisory principles and practices

Nursing process (assessment, planning, implementation, and coordination of patient care) Standards of care

Disease process of illnesses or injuries in variety of specialty areas

Patient care plan development

Patient evaluation and assessment techniques

Nurse Practice Act

Third party reimbursement regulations and rules

Department and hospital safety practices and procedures

Patient rights

Department and hospital emergency response policies and procedures

Additional Knowledge :

Working with patients in a variety of ways

Supervising the work of assigned staff

Interpreting rules and regulations

Interpreting and analyzing patient medical charts for Acute care criteria

Communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds

Establishing and maintaining effective working relationships

For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at https : / / www.HealthcareRecruitmentPartners.com / Careers.

If this opportunity is of interest or know someone that would have interest, please feel free to contact me at your earliest convenience.

Michelle Boeckmann | President Case Management Recruitment

Direct Dial 615-465-0292

Michelle@HCRecruiter.com

https : / / www.HealthcareRecruitmentPartners.com

A member of the Sanford Rose Associates® network of offices

America's Best Professional Recruiting Firms | Forbes 2024

Top 10 U.S. Search Firm – Executive Search Review

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