RN - Case Manager

Cynet Health; Cleveland (OH); On-site; USD 70,000 - 100,000; Full time

Job summary

Cynet Health seeks an experienced Registered Nurse for a 14-week RN Case Manager position in Cleveland, OH. The role focuses on utilization management and requires five or more years of recent RN experience, with prior case management or utilization management exposure.

Responsibilities include performing 30+ reviews daily, applying Cerner, InterQual, and MCG criteria, and collaborating with care teams. Strong critical thinking, communication, and computer skills are essential; ACM/CCM

Qualifications

• Minimum of five (5) years recent Registered Nurse experience.
• Experience in Case Management or Utilization Management.
• Experience with conducting 30+ reviews a day.
• Experience with screening criteria including Cerner, InterQual, and MCG.

Responsibilities

• Conduct 30+ reviews daily as part of utilization management.
• Apply screening criteria such as Cerner, InterQual, and MCG.
• Collaborate with care teams to coordinate patient care.
• Demonstrate excellent critical thinking and communication skills; maintain strong computer proficiency.

Skills

Critical thinking

Communication skills

Computer skills

Tools

Cerner

InterQual

MCG

Job description

RN - Case Manager

Profession: Registered Nurse

Specialty: Utilization Management

Duration: 14 weeks

Shift: 5x8.0

Hours per Shift: 8 hours

Experience:

• Minimum of five (5) years recent RN experience
• Previous experience in Case Management or Utilization Management
• Experience with conducting 30+ reviews a day
• Previous experience with screening criteria including Cerner, InterQual, and MCG

License:

• Current licensure from the appropriate state nursing board

Certifications:

• ACM/CCM Certification is highly desired

Must-Have:

• Excellent critical thinking and communication skills
• Strong computer skills

Description:This position requires a minimum of five (5) years of recent experience in clinical nursing or a related nursing field.A background in Care Management or Case Management is essential.Experience with screening criteria such as Cerner, InterQual, and MCG is required.The role involves conducting a significant number of reviews daily, with experience in handling 30+ reviews being necessary.Candidates should possess excellent critical thinking abilities and communication skills.Strong computer proficiency is essential for this role.