ED RN Case Manager- Atlantic

TidalHealth • Berlin, MD

55d • $36 - $58

About The Position

Assumes Care Coordination and transitions of care for patients entering through the E.D. Facilitates the collaborative management of patient to prevent E.D. recidivism, un-necessary admissions and re-admissions. Initiates clinical review and medical necessity for those being placed in a clinical bed to ensure "right patient / right level of care."

Requirements

• Graduation from an accredited RN nursing program.
• 2-5 years clinical experience.
• Knowledge of community based resources.
• Prior work experience should be directly related to core job functions.
• Two years' experience in healthcare setting.
• Prior Case Management experience required.
• Ability to multi-task and perform functions in a fast-paced setting.
• Knowledge of insurance, and associated coordination of healthcare services.
• Valid RN License is required.

Nice To Haves

• Prior utilization review experience preferred.
• Knowledge of MCG (Milliman) criteria preferred.
• Bachelor's degree preferred

Benefits

• Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition reimbursement and more!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees