Case Manager RN - Utilization Review + Discharge Planning

Lancesoft INC; United States; In loco; USD 44.000 - 61.000; Tempo pieno

Vantaggi offerti da questo lavoro

Sign-On Bonus

Shift Differentials

2-Year Commitment

Descrizione del lavoro

LanceSoft is seeking a Care Coordination and Utilization Management professional for acute care settings in the United States. The role includes performing medical and psychosocial assessments, discharge planning, and coordinating with physicians, nurses, and social workers to optimize patient care.

The candidate will review medical necessity, manage admissions status, and communicate with insurers, while driving throughput, reducing length of stay, and ensuring compliant documentation.

Competenze

• 3+ years recent Case Management (acute care)
• 3+ years RN in Med/Surg / Telemetry / ICU-PCU / ED / Neuro

Mansioni

• Care Coordination: Assessments, discharge planning, and coordination with MDs, nurses and social workers
• Utilization Management: Review medical necessity and admission status, ensure correct level of care, communicate with payors
• Throughput & Discharge: Identify barriers, improve patient flow and LOS, arrange post-discharge services
• Compliance & Documentation: Follow regulations and hospital guidelines, maintain accurate docs, report safety/quality concerns

Conoscenze

Case Management

RN background

Healthcare coordination

Regulatory compliance

Formazione

Registered Nurse (RN) license

Descrizione del lavoro

Job Description

Care Coordination

• Perform medical + psychosocial assessments
• Create and manage discharge plans
• Coordinate with MDs, nurses, and social workers
• Lead care planning discussions

Utilization Management

• Review medical necessity & admission status
• Ensure correct level of care (IP vs Observation)
• Communicate with insurance/payors
• Escalate authorization/status issues

Throughput & Discharge

• Identify discharge barriers early
• Improve patient flow & length of stay (LOS)
• Arrange post-discharge services (rehab, home care, etc.)

Compliance & Documentation

• Follow regulatory + hospital guidelines
• Maintain accurate documentation
• Report safety or quality concerns

Requirements

• Option 1: 3+ years recent Case Management (acute care)
• OR Option 2: 3+ years RN in:
  • Med/Surg
  • Telemetry
  • ICU / PCU
  • ED
  • Neuro

Conditional Candidates

• Home Health / Insurance CM only if:
  • 3 years total acute care experience
  • 1 year acute care within last 5 years
• Active FL RN license or compact

Compensation Breakdown

• Base Pay Range: $31.94 – $43.92/hr

Shift Differentials (Stackable)

• Evening: +$2.50/hr
• Weekend: +$2.00/hr
• Max Add-On: +$4.50/hr

Example: Evening + Weekend = base + $4.50/hr

Sign-On Bonus ($10K Total)

2-Year Commitment Required

~sk

Company Description

LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.