Job at a glance
Company Description Healthcare Job Description 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. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc