Registered Nurse Case Manager

Healthcare Support Staffing; Tacoma (WA); On-site; USD 75,000 - 100,000; Full time

Benefits offered by this job

Flexible hours

Competitive salary

Career development opportunities

Job summary

A national healthcare staffing firm in Tacoma seeks an experienced RN Case Manager. The role involves performing onsite reviews of care requests, collaborating with provider networks, and maintaining clinical information. Candidates must have at least 2 years in acute care with experience in utilization management and strong Excel skills. This position offers flexible hours and substantial opportunities for career advancement in one of the fastest-growing healthcare companies in the U.S.

Qualifications

• 2 years RN experience in acute care with utilization management.
• Strong background in processing authorizations and using Excel.
• Experience handling caseloads in diverse healthcare environments.

Responsibilities

• Perform onsite review of emergent and urgent care requests.
• Collaborate with provider networks to coordinate member care.
• Enter and maintain clinical information in management systems.

Skills

RN experience in acute care

Utilization management

Proficient with Excel

Experience using TruCare system

Clinical knowledge in diverse populations

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

We are aggressively seeking a RN Case Manager for a Healthcare organization. As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours,a competitive salary, and be a RN Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Case Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Alex Bennewitz for immediate consideration.

Daily Responsibilities:

Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations

Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings

Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care

Educate providers on utilization and medical management processes

Provide clinical knowledge and act as a clinical resource to non-clinical team staff

Enter and maintain pertinent clinical information in various medical management systems

Qualifications

Requirements:

2 years RN experience in acute care with some utilization management, prior authorization, concurrent review, and proficient with Excel

Experience using TruCare system

Strong Excel experience background in diverse populations/environments (e.g. Critical care, ICU, cardiac, neonatal, pediatric, Case Management

Experience processing 10-15 authorizations a day

Additional Information

Interested in hearing more about this great opportunity? Please click Apply or call Alex Bennewitz at 513-996-1192