RN Case Manager: Discharge & Care Coordination

MASC Medical Recruitment Firm; Homestead (FL); Vor Ort; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

MASC Medical Recruitment Firm is seeking a Case Manager (RN) in FL with 3+ years UR experience, including working knowledge of InterQual and Milliman criteria to determine admission status and medical necessity. FL RN license required. Prior discharge planning and coordination of post-discharge services are essential.

Responsibilities include psychosocial assessments and arranging durable medical equipment, home health care, SNF & ALF placements as part of safe transition planning.

Qualifikationen

• Current Florida RN license is required.
• Minimum 3 years of Utilization Review (UR) experience with InterQual and Milliman criteria.
• Experience communicating with external payers and determining medical necessity.

Aufgaben

• Discharge planning with psychosocial assessments.
• Coordinate safe transitions post-discharge (DME, home health, SNF/ALF).

Kenntnisse

UR (Utilization Review)

InterQual

Milliman Criteria

Admission decisions

Ausbildung

Florida RN license

Jobbeschreibung

MASC Medical Recruitment Firm is seeking a Case Manager (RN) in FL with 3+ years UR experience, including working knowledge of InterQual and Milliman criteria to determine admission status and medical necessity. FL RN license required. Prior discharge planning and coordination of post-discharge services are essential.

Responsibilities include psychosocial assessments and arranging durable medical equipment, home health care, SNF & ALF placements as part of safe transition planning.