RN Case Manager

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you! Daily Responsibilities Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Act as clinical resources to referral staff and make appropriate referrals Data enters assessments, authorizations and reviews into the system Hours for this Position: Monday-Friday 8:30am-5:00pm Advantages of this Opportunity Competitive salary, based on relevant experience Benefits offered, Medical, Dental, and Vision Fun and positive work environment Qualifications Prior Authorization experience from another managed care company or hospital Experience with Interqual or Milliman is strongly preferred Insurance experience (Medicare, Medicaid, commercial) Additional Information Interested in being considered? If you are interested in applying to this position, please contact Sheena Lagaylay @ View phone number on click.appcast.io and click the Green I’m Interested Button to email your resume. #J-18808-Ljbffr Healthcare Support Staffing