RN Case Manager - Utilization Review (Full-Time)

We are seeking a registered nurse with a minimum of three years' clinical experience, including two years in utilization review, management, or case management. The role involves delivering quality healthcare outcomes by ensuring safe, individualized discharge planning and providing proficient utilization management services to maximize reimbursement. The nurse will collaborate proactively with patients, families, and healthcare teams to meet clinical and social needs post-discharge.

Qualifications Include

• Graduate from an accredited nursing school
• Current license to practice as a Registered Nurse in the state
• Proficiency in computer skills, including word processing, spreadsheets, and data management
• Knowledge of social and physical factors affecting discharge and community resources
• Ability to provide age-appropriate care for diverse patient populations
  
  

Key Responsibilities

• Establish safe, individualized discharge plans
• Provide timely utilization management services
• Collaborate with patients, families, and healthcare teams to optimize care and reimbursement
  
  

Benefits include: comprehensive training, competitive pay, medical plans, 401(k), career growth opportunities, and a rewarding work environment.