Full-Time
Manager, RN Case Management
Direct Staffing
No salary listed
Elkton, MD, USA
In Person
Relocation support is indicated.
Bachelor's
Category
 Medical, Clinical & Veterinary |
|---|
Required Skills
Management
Nursing
Requirements
- A bachelor's degree is required.
- Must be a registered nurse licensed in Maryland or a compact state.
- Experience with utilization review, case management, payer mix in Maryland, Meditech, hospital operations, and discharge planning is required.
- Hospital experience is required.
- Experience with management is required.
Responsibilities
- Oversee and manage the daily operations of the Case Management Department for utilization management and care transition functions.
- Manage denials, minimize clinical denials, and facilitate reimbursement of services.
- Manage payer requirements and support regulatory compliance issues.
- Manage the daily operations of assigned areas of responsibility.
Desired Qualifications
- Experience working for a nonprofit hospital, health insurance company, or health system.
- Collaborative work with nursing staff and physicians.
- Innovative approach to the role.