Manager, RN Case Management

dstaff

Elkton, MD, United States permanent

Posted: May 3, 2015

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Quick Summary

Manages daily operations of Case Management Department for utilization management and care transition functions, overseeing denials management, payer requirements, and regulatory compliance issues.

Required Skills

Healthcare Management Case Management Meditech Hospital Experience Discharge Planning Status Review Payer Requirements Regulatory Compliance Leadership

Job Description

Healthcare

Manager, RN Case Management

Elkton

Exp 2-5 years

Deg Bachelors

Relo

Bonus

Job Description

This position has oversight and management of daily operations of the Case Management Department for the utilization management and care transition functions. The scope of this role includes denials management, minimizing clinical denials and facilitating reimbursement of services, management of payer requirements, and supporting regulatory compliance issues. This position also manages the daily operations of the assigned areas of responsibility. Must be an RN either Maryland licensed or Compact state

SKILLS AND CERTIFICATIONS

Utilization Review

Case Management

knowledge of payor mix in Maryland

meditech

Must have Hospital Experience

Discharge planning

IDEAL CANDIDATE

must have excellent management skills and experience. self-starter. Collaborative, work will with Nursing staff and physicians. Innovative.

IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES):

Non-profit Hospitals, Health Insurance Companies or Health Systems

WHY WE'RE A GREAT COMPANY

Offer excellent benefits and compensation. Values based leadership. Committed to our community and quality of care.

All your information will be kept confidential according to EEO guidelines.

Direct Staffing Inc

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