Acute Care Hospital Based RN Case Manager

US-SD-Rapid City | US-SD-Rapid City
Req No
2017-3739
Category
Production Coding
Type
Contract to Permanent (Full Time)

Overview

 

**THIS IS ACUTE CARE NURSING- CARE MANAGER ROLE! TRAVELER MUST HAVE 5 YEARS ACUTE CARE NURSING EXPERIENCE- LTC CARE MANAGER/NURSING EXPERIENCE DOES NOT COUNT. PLEASE DO NOT SUBMIT IF THEY DO NOT HAVE 5 YEARS OF ACUTE CARE NURSING EXPERIENCE**<br /><br />Responsible for review and completion of denial/appeal requests and stays current with Federal and State regulations regarding medical necessity for inpatient and observation hospitalizations. <br />• Knowledge and experience with Utilization Review and MCG required<br />• Minimum of 5 years acute care nursing required<br />• Bachelors degree in nursing required. <br />• Care Management certification or specialty nursing area preferred<br />• Licensure to practice as a Registered Nurse in South Dakota required

 

 

Peak Health Solutions, an AMN Healthcare company, is an EEO/AA/Disability/Protected Veteran EmployerWe encourage minority and female applicants to apply

Responsibilities

 

 

Qualifications

Current RN License 

 

OTHER SKILLS:  

  • Strong verbal, written and interpersonal communication skills.
  • Extensive knowledge of diseases, clinical procedures, treatment, prognosis and hospital functions.
  • Ability to effectively communicate clinical information.
  • Strong analysis/problem solving skills.
  • Skill in the evaluation of quality and appropriateness of care.
  • Proven leadership ability. Strong organization skills with the ability to work in a fast-paced environment independently or as part of an interdisciplinary team.
  • Computer skills to include proficiency in keyboarding and data entry.
  • Critical thinking skills, able to assess, evaluate and teach.
  • Knowledge of discharge planning, health care reimbursement, utilization review processes and Medicare admission status/classification level.
  • MS Office proficiency preferred.

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