RN Case Management Supervisor

Prime Healthcare • Kansas City, KS

7d • Onsite

About The Position

The Case Management Supervisor provides daily leadership and oversight to Social Worker Case Managers, RN Case Managers, UR Techs, and Discharge Planners while supporting quality patient care across the full continuum of care. The Case Management Supervisor partners with the Medical Review Coordinator on peer-to-peer reviews, outcomes, and appeal requests while promoting cost effective care, medical necessity review, and seamless coordination between healthcare providers.

Requirements

• Licensed clinician in your state
• At least one-year experience in case management, discharge planning or management
• Experience and knowledge in basic to intermediate computer skills

Nice To Haves

• CCM or obtained within 1 year
• Minimum 5 years of acute care experience
• Current BCLS certificate preferred
• Knowledge of Milliman Criteria and InterQual Criteria preferred

Responsibilities

• Supervise case management staff including Social Worker Case Managers, RN Case Managers, UR Techs, and Discharge Planners
• Provide oversight of patient care coordination from admission through discharge planning
• Partner with the Medical Review Coordinator on peer-to-peer reviews, outcomes, and appeal requests
• Support quality, clinical, and cost-effective outcomes for all admitted patients
• Review medical records for admission and concurrent review requirements
• Apply MCG, Milliman, and InterQual criteria to evaluate medical necessity, intensity of service, and severity of illness

Benefits

• Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed