Receive Job Notifications

Upload Your Resume

Employers use Nursing Network daily to search for the perfect candidate. Get listed so they can discover you.

Get started

Case Management Nurse

White Plains, NY

Details

Hiring Company

HumanEdge

Apply now

Position Description

Opportunity Description

Looking for your next adventure as a Travel RN or Allied Health Professional? We’re here to help you make the perfect match! With over 30 years of experience, our full-service staffing firm specializes in connecting talented healthcare professionals with exciting travel opportunities across the country.

Company Information

Job Duties

Completes a comprehensive initial assessment.
Performs all activities for multidisciplinary care coordination at the intra-hospital level of care and inter-hospital level of care.
Performs all transitional planning activities
Ensures department goals of LOS reduction, readmission prevention, denial reduction, and satisfaction improvement are realized.
Performs all UR activities per department policy:
Commercial payer reviews
Disposition determination
Retro/self-audit
MC variance
Admission clinical review.

Experience & Skills Required

DISCHARGE EXPERIENCE REQUIRED
Registered Nurse (RN) NYS license required
PRI Certification
Screen certification strongly preferred
Care Management certification preferred (i.e. CMC, CCM etc.)
3 years clinical ED, critical care or med/surg experience preferred
Previous case management experience preferred
Knowledge of healthcare financial, regulatory, and payer issues preferred
Knowledge of state, local, and federal programs strongly preferred
Experience in use of Milliman/InterQual criteria

Benefits

Excellent pay tailored to your needs
Referral bonus program
Weekly direct deposit
Comprehensive benefits package
Low-cost Medical, Dental and Vision insurance
Travel reimbursement
401K options
24/7 support before, during and after your assignment
CEU reimbursements
Licensure reimbursement