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Registered Nurse Case Manager

TLC

Case Management – Acute CareSchedule: Every other weekend required. Call is not required. Floating to other departments or facilities may occur to meet department needs.Assignment Details: Up to 25 patients per day. Pre-approved time off must be submitted upfront.Requirements:Current acute care hospital case management experience within the last year.2 years of case management experience preferred.Experience with Epic EMR required.Travel experience is required.Experience with care coordination, discharge planning, and utilization management.Knowledge of DRG, CMS/core measures, and HIPAA compliance.References: 2 covering 1 year required.Responsibilities:Coordinate patient care and discharge planning.Manage utilization and apply knowledge of benefits eligibility and prior authorizations.Conduct assessments, implement care plans, and facilitate multidisciplinary team meetings.Ensure compliance with regulatory standards and maintain patient confidentiality.Compliance / Notes: Valid state license required. Background checks are mandatory.

Vacancy posted 5 days ago
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