RN - Case Manager

Cynet Health; St. Louis (MO); On-site; USD 55,000 - 83,000; Full time

Job summary

Cynet Health is seeking an RN Case Manager for a 12-week contract in Missouri. The role involves coordinating case management for home health setup and discharge planning, with CMS and HIPAA compliance, and collaboration across an interdisciplinary team.

Day shift, Monday to Friday from 8:00 AM to 5:00 PM, with some Saturdays. Requires travel to patient sites and experience with care coordination and discharge planning.

Qualifications

• RN license required.
• 2-3 years in case management.
• BLS certification is required.

Responsibilities

• Case management during day shifts for home health setup and discharge planning.
• Coordinate with interdisciplinary team and ensure medical necessity.
• Ensure CMS regulations and HIPAA guidelines are followed; manage prior authorizations.

Skills

Typing

Microsoft Office

Epic EMR

Communication

Education

RN License

BLS Certification

Tools

Epic EMR

Job description

RN - Case Manager

Profession: Nursing

Specialty: Case Manager

Duration: 12 weeks

Shift: Day

Hours per Shift: 8 hours

Experience: 2-3 years in case management

License: RN License Required

Certifications: BLS

Must-Have:

• Ability to work with technology (typing, Microsoft, Epic)
• Ability to work in a fast-paced environment with the ability to organize and prioritize work
• Excellent written and verbal communication skills

Description:This position involves case management during day shifts, Monday to Friday from 8:00 AM to 5:00 PM, with some Saturdays.The role entails working with adults needing home health setup and discharge assistance.Candidates should possess experience in care coordination, discharge planning, and medical necessity.Candidates must also understand CMS regulations, HIPAA guidelines, and have experience with prior authorizations.An emphasis on understanding diagnosis-related groups and core measures is essential.Candidates should be capable of working collaboratively within an interdisciplinary team.Travel experience is required, and the ability to adapt to various patient needs is critical.