RN Case Manager: Discharge & Care Coordination

MASC Medical Recruitment Firm; Homestead (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

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

Skills

UR (Utilization Review)

InterQual

Milliman Criteria

Admission decisions

Education

Florida RN license

Job description

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.