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MDS Case Manager RN | Negotiable Pay | FOUR STAR STAFFING

Spring Creek Rehabilitation and Nursing Center
Harrisburg, PA Full Time
POSTED ON 2/7/2025
AVAILABLE BEFORE 5/5/2025

Spring Creek Rehabilitation and Nursing Center -

Registered Nurse (RN) Case Manager - Monday thru Friday, On Site

  • The position is on site at the facility, and remote work will not be considered.

Benefits of the Registered Nurse (RN) Case Manager :

  • It Really Pays to Have a Friend! Refer Your Friend (CNA / LPN) and Earn $$$$!
  • Daily Pay  Option! Your pay, when you need it! Get paid daily!
  • Competitive Salary!
  • Comprehensive Benefits Package and 401k
  • Core Benefits start the first day of the month following date of hire!
  • PTO to include holidays, vacation and sick time.
  • Industry leading orientation and training with on-going management support
  • Employee recognition through various awards and programs
  • NEW Career Advancement and Growth Opportunities
  • A team centered culture that supports our values of  S.H.A.R.E. (Service, Honesty, Accountability, Respect, and Excellence)
  • An employer who cares about  YOU
  • Location : 1205 S 28th St, Harrisburg, PA 17111

    Spring Creek Rehab and Nursing Center is currently looking for a Full Time   Registered Nurse (RN) Case Manager  to assist with leading our nursing team!

  • The position is on site at the facility, and remote work will not be considered.
  • Are you a compassionate and enthusiastic Registered Nurse (RN) with case management experience in long-term care? Then this might be the perfect opportunity for YOU!
  • Spring Creek Rehabilitation and Nursing Center  is a  NEWLY   transformed facility,  offering a dynamic work environment that cares about our staff's life goals. Come  EXPERIENCE  why we have  HIGH Employee Retention Rates  and  Continuously Improved Survey Results!  It's a  NEW  Day at Spring Creek and our survey results speak for themselves! Come take a tour and meet our  Strong, Stable, Leadership Team!  See for yourself the amazing changes at Spring Creek!

    Requirements of the Registered Nurse (RN) Case Manager :

  • Must possess a current, unencumbered, active license to practice as a Registered Nurse (RN) in this state
  • Bachelors Degree in Nursing (BSN) from an accredited college or university preferred.
  • Must have, as a minimum, two (2) years of experience with case management skills in a long-term care setting.
  • Proficient in ability to interpret Managed Care / Medicare Advantage Contracts and provide education to the teams in our centers.
  • Knowledge of the various payment models for Managed Care
  • Must have Managed Care / Medicare Advantage billing knowledge and experience.
  • Must successfully complete a post offer, pre-employment criminal background check and physical / drug screen.
  • Responsibilites of the Registered Nurse (RN) Case Manager :

  • Provides communication to the managed care providers regarding a patient’s care and their current level of functioning.
  • Ensures comprehensive care is continued from hospital to skilled nursing center
  • Insurance updates-with focus on increase in levels and RUGs when appropriate
  • Assists in gathering and reviewing patient records for appeal requests
  • Medicare Certifications / Recertifications
  • Assisting with querying the physician for appropriate diagnosis codes for best possible reimbursement
  • Assist in reviewing hospital records for diagnosis codes, treatments and medications.
  • Interviews of the patient when appropriate
  • Assists in communicating with nursing staff and other members of the IDT to gather appropriate skilled documentation
  • Key player in UR / Medicare meeting
  • Attends clinical meetings as appropriate
  • Resolves insurance / managed care operational issues such as authorization and payment level of service
  • Take pride in your career and join an organization where your talents will shine! Apply Today or Schedule a time for us to give you a call here :   https : / / calendly.com / acarrick-jh9l / rn-opportunity-call-harrisburg

    Spring Creek Rehab and Nursing Center is an equal opportunity employer and complies with applicable Federal, State and Local civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, and protected veteran status.

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