RN - Case Manager

Acute Care RN Case Manager – Utilization Review

This position is responsible for routine case management and discharge planning. Conduct swing bed coordinator and utilization review duties. Evaluate and screen potential admissions to the swing bed program. Knowledgeable of criteria for Medicare, Medicaid, HMO, swing bed, and private insurance coverage. Initiate ongoing communication with residents and their families to assess discharge needs. Actively involved in daily rounds with bedside staff, physicians, and ancillary team members. Communicate with physicians to ascertain their plans for timely discharge. Document updates and discharge planning as part of ongoing review. Manage and collaborate with the healthcare team on swing bed placements. Complete MDS documentation as necessary. Assist with obtaining referrals and prior authorization for home health care, CME, SNF, acute rehab, and appointments. Educate physicians and staff regarding appropriate levels of care/utilization and required documentation that meets admission status. Run Interqual for each inpatient and observation patient admitted.

We offer competitive benefits, including:

• 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

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.

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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