MDS Case Manager Registered Nurse (RN) FOUR STAR RATED STAFFING

TieTalent; Harrisburg (Dauphin County); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading rehabilitation and nursing center in Harrisburg is seeking a Full-Time Registered Nurse (RN) Case Manager to lead their nursing team. This position offers competitive pay, a comprehensive benefits package, and numerous career advancement opportunities in a supportive environment that values employee engagement and retention.

Benefits

Daily Pay Option

Comprehensive Benefits Package

Employee Referral Program

PTO including holidays and vacation

Qualifications

• Must possess a current, active RN license.
• Preferred BSN from an accredited university.
• Minimum two years of case management experience in long-term care.

Responsibilities

• Communicates with managed care providers regarding patient care.
• Ensures continuity of care from hospital to nursing center.
• Assists in insurance updates and appeal requests.

Skills

Patient care communication

Medicare billing knowledge

Case management skills

Education

Bachelors Degree in Nursing (BSN)

Job description

Partner Job (Closed) Spring Creek Rehabilitation and Nursing Center

MDS Case Manager Registered Nurse (RN) FOUR STAR RATED STAFFING

Registered Nurse (RN) Case Manager - Monday thru Friday, On Site

Come work at our 4-star staffing facility!

The position is on site at the facility, and remote work will not be considered.

Benefits of the Registered Nurse (RN) Case Manager:

Daily Pay Option! Your pay, when you need it! Get paid daily!
Competitive Salary!
Employee Referral Program
Comprehensive Benefits Package and 401k
Core Benefits start the first day of the month following date of hire!
PTO to include holidays, vacation and sick time.
Industry leading orientation and training with on-going management support
Employee recognition through various awards and programs
NEW Career Advancement and Growth Opportunities
A team centered culture that supports our values of S.H.A.R.E. (Service, Honesty, Accountability, Respect, and Excellence)
An employer who cares about YOU

Location: 1205 S 28th St, Harrisburg, PA 17111

Spring Creek Rehab and Nursing Center is currently looking for a Full Time Registered Nurse (RN) Case Manager to assist with leading our nursing team! The position is on site at the facility, and remote work will not be considered. Are you a compassionate and enthusiastic Registered Nurse (RN) with case management experience in long-term care? Then this might be the perfect opportunity for YOU!

Spring Creek Rehabilitation and Nursing Center is a NEWLY transformed facility, offering a dynamic work environment that cares about our staff's life goals. Come EXPERIENCE why we have HIGH Employee Retention Rates and Continuously Improved Survey Results! It's a NEW Day at Spring Creek and our survey results speak for themselves! Come take a tour and meet our Strong, Stable, Leadership Team! See for yourself the amazing changes at Spring Creek!

Requirements of the Registered Nurse (RN) Case Manager:

Must possess a current, unencumbered, active license to practice as a Registered Nurse (RN) in this state
Bachelors Degree in Nursing (BSN) from an accredited college or university preferred.
Must have, as a minimum, two (2) years of experience with case management skills in a long-term care setting.
Proficient in ability to interpret Managed Care/Medicare Advantage Contracts and provide education to the teams in our centers.
Knowledge of the various payment models for Managed Care
Must have Managed Care/Medicare Advantage billing knowledge and experience.
Must successfully complete a post offer, pre-employment criminal background check and physical / drug screen.

Responsibilites of the Registered Nurse (RN) Case Manager:

Provides communication to the managed care providers regarding a patient’s care and their current level of functioning.
Ensures comprehensive care is continued from hospital to skilled nursing center
Insurance updates-with focus on increase in levels and RUGs when appropriate
Assists in gathering and reviewing patient records for appeal requests
Medicare Certifications/Recertifications
Assisting with querying the physician for appropriate diagnosis codes for best possible reimbursement
Assist in reviewing hospital records for diagnosis codes, treatments and medications.
Interviews of the patient when appropriate
Assists in communicating with nursing staff and other members of the IDT to gather appropriate skilled documentation
Key player in UR/Medicare meeting
Attends clinical meetings as appropriate
Resolves insurance/managed care operational issues such as authorization and payment level of service

Take pride in your career and join an organization where your talents will shine! Apply Today !

Spring Creek Rehab and Nursing Center is an equal opportunity employer and complies with applicable Federal, State and Local civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, and protected veteran status.

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