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
Job details are sourced from the employer's original posting.
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