What are the responsibilities and job description for the RN Case Manager position at Healthcare Recruitment Partners?
Job Description
Job Description
RN Case Manager
Las Vegas Area, Nevada
Qualifications :
Registered Nurse required
Bachelor Nursing Degree required
Master's Degree preferred
Director 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 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
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
Working with patients in a variety of conditions; interpreting rules and regulations Interpreting and analyzing patient medical charts
Using computers and a variety of software applications
Communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions
Establishing and maintaining effective working relationships with all personnel contacted in the course of duties
Efficient, effective and safe use of equipment
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
Keep a pulse on the job market with advanced job matching technology.
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a RN Case Manager?
Sign up to receive alerts about other jobs on the RN Case Manager career path by checking the boxes next to the positions that interest you.
