RN - Case Manager

Registered Nurse Case ManagerCoordinates utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation. Oversees the management of acute patient populations across the care continuum. Focuses on providing coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and intervention for high-risk patients presenting to the Emergency Department. Strives to promote patient wellness and improve care outcomes. Ensures efficient utilization of health services and minimizes denials of payment among a patient population with complex health needs. Requires experience in acute hospital and long-term acute care settings. Familiarity with medical necessity, retrospective review, and concurrent review is essential. Knowledge of CMS guidelines, CPT coding, and ICD 10 coding is required. Adherence to HIPAA guidelines and understanding of HEDIS measures is crucial.We offer competitive benefits, including:Medical, dental & vision insuranceFree and unlimited continuing education units (CEUs)24/7 dedicated Care Line and clinical liaison supportPersonalized career consultant and "single point of contact" serviceIndustry?leading pay rates, loyalty rewards & referral bonusesFree tax return assistance for travelers401(k) Retirement PlanHealth Savings Account (HSA)Disability Insurance (Short-Term and Long-Term)Life and AD&D InsurancePaid Sick Leave (where required by applicable state or local law)Supplemental Insurance PlansIdentity Theft ProtectionPet InsuranceEmployee Wellness ProgramsEmployee Assistance Program (EAP)Career Growth and Professional Development OpportunitiesDisclaimer: 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.Job Board Disclaimer By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text "HELP" for more info, or "STOP" to unsubscribe. Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.