Case Manager

Case Manager

Job Title: Case Manager

Profession: Registered Nurse

Specialty: Case Management

Duration: 13 weeks

Shift: Day

Hours per Shift: 8 hours (08:00 - 16:30)

Experience: 5+ years of recent acute care case management experience in a hospital setting; no more than 6 months gap from last acute care case management role.

License: Compact or state license in hand, no exceptions.

Certifications: BLS required (must be via AHA); CCM or ACM preferred.

Must-Have: Recent experience in an adult acute hospital setting. Experience with discharge planning. Level I, II, or III hospital experience for case management. Census familiarity with care management model. Competency in all care management functions, including CMS regulations. Epic experience required. No prior license or background hits.

Description: Candidate must have experience in acute inpatient discharge planning. The role involves managing a fast-paced unit with multiple discharges and admissions daily. A strong understanding of UR (Utilization Review) is required. The position includes coordinating care for a patient population with varied needs. Demonstrated skills in appeals, denials, audits, and medical necessity determination are essential. Experience with CMS guidelines and concurrent reviews is necessary. Familiarity with HIPAA regulations is important. The candidate will be working with various interdisciplinary teams to support patient care. This position requires effective communication and coordination skills to ensure seamless discharge processes. Flexibility to work weekends and holidays may be needed.

Benefits:

• Medical, dental & vision insurance
• Free and unlimited continuing education units (CEUs)
• 24/7 dedicated Care Line and clinical liaison support
• Personalized career consultant and "single point of contact" service
• Industry?leading pay rates, loyalty rewards & referral bonuses
• Free tax return assistance for travelers
• 401(k) Retirement Plan
• Health Savings Account (HSA)
• Disability Insurance (Short-Term and Long-Term)
• Life and AD&D Insurance
• Paid Sick Leave (where required by applicable state or local law)
• Supplemental Insurance Plans
• Identity Theft Protection
• Pet Insurance
• Employee Wellness Programs
• Employee Assistance Program (EAP)
• Career Growth and Professional Development Opportunities

Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Health reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

About Cynet Health: Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest?growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct?hire, and non?clinical professionals across hospitals, clinics, long?term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest?growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.

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