24 Case Manager - RN Jobs in Trenton, NJ
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Genesis HealthCare is Hiring a Case Manager - RN Near Trenton, NJ
*Monitor patients' case throughout stay to ensure utilization of services are in accordance with plan of care and minimize financial risk to patient and center.
*Verify and communicate current, accurate and complete clinical information to payer from patient Pre-Admission through Concurrent Review using standard and plan review forms to justify clinical necessity according to payer review schedule.
*Review Pre-Admission Review (PAR) and IRM Pre-Authorization assessment to identify costly treatments, supplies or services.
*Communicate contract terms for patients' stay to Interdisciplinary Team and ensure the team implements services in the patient plan of care subject to contract terms and case negotiations in order to minimize overutilization or under-utilization of services and unreimbursed claims.
*Negotiate for appropriate continuation of length of stay or extension of services and appropriate Level of Care (what is covered/what is not covered) and associated rates.
*Obtain payer authorization for recommended treatments, procedures, supplies, equipment and medications and all exclusions.
We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion!
*We Care Deeply about YOU! Guided by our Core Values, Code of Conduct and Ethics program, we foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty and integrity in all we do.
*We Develop YOU! We provide career ladders, education and training opportunities so you can build a long and successful career with Genesis.
*We Appreciate YOU! We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes.
*We are Committed to YOU! We know you are the vital link between Genesis, our patients and residents! We inspire you to be your best self.
*We Protect YOU! We take great pride in meeting or exceeding CDC and CMS standards.
*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off
*Variable compensation plans
*Inclusive workplace with DEI committee
*Nursing Student Loan Debt Repayment and Tuition Assistance
*Tuition, Travel, and Wireless Service Discounts
*Employee Assistance Program to support mental health
*Employee Foundation to financially assist through unforeseen hardships
Qualifications:
*Graduate of an accredited School of Nursing with current RN licensure in the state where employment occurs or where case management is practiced contingent upon state regulations required. *Bachelor's Degree in Nursing, Certified Case Management (CCM) or related clinical certifications is preferred.*Five years of recent clinical nursing experience is required. *Prior experience in utilization review, case management or discharge planning is required. *Prior experience using evidence-based clinical decision support criteria (e.g. Interqual, Milliman) *Experience in rehabilitation nursing, acute care and/or the insurance field preferred. *Two years' full time experience in case management which includes service to short/long term facility based clients is preferred. *Must have advanced knowledge of third party reimbursement, insurance coverage and contract requirements. To protect the health and safety of our patients, residents, employees, family members, and the communities we serve, Genesis has implemented a universal COVID-19 vaccination requirement for employees, care partners and onsite vendors.
Other Info
- Position Type: Full Time
- Pay Target: $70,000 - $90,000 / year
- Job City: Trenton
- Requisition Number: 469174
Job Summary
Full Time
Preschool & Daycare
$97k-117k (estimate)
08/03/2023
04/24/2024
TROY, OH
100 - 200
2014
MARK JOHNSTON
$10M - $50M
Preschool & Daycare
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The job skills required for Case Manager - RN include Case Management, Mental Health, Planning, Acute Care, Discharge Planning, Life Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Case Manager - RN. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Case Manager - RN. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Case Manager - RN positions, which can be used as a reference in future career path planning. As a Case Manager - RN, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager - RN. You can explore the career advancement for a Case Manager - RN below and select your interested title to get hiring information.
If you are interested in becoming a Case Manager RN, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Case Manager RN for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Case Manager RN job description and responsibilities
Case Managers act as patient advocates and make sure the needs of the patient are met effectively and efficiently.
02/16/2022: Denver, CO
An RN Case Manager must be able to multitask and handle numerous responsibilities throughout each day.
04/11/2022: Tampa, FL
Case managers work both within and outside of a hospital or medical facility.
04/12/2022: Olympia, WA
Work with patients, families and other professionals.
02/13/2022: Lubbock, TX
Case managers work holistically, ensuring that care and discharge plans meet the physical, social, and emotional needs of patients.
02/19/2022: Winston Salem, NC
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Case Manager RN jobs
Continue reading to learn more about the requirements, responsibilities, training, and average salaries of RN Case Managers.
04/15/2022: Savannah, GA
Get certified as a registered nurse.
04/09/2022: Lake Charles, LA
Undergo RN case manager training.
03/07/2022: Rochester, NY
Earn Case Management Certification.
03/09/2022: Monroe, LA
While not all healthcare employers require case management nurses to be certified, applicants with relevant certifications will certainly have an advantage when competing for case management nursing positions.
01/23/2022: Troy, NY
Step 3: View the best colleges and universities for Case Manager RN.
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