RN Case Manager – Utilization & Care Coordination

Cynet Health; Cleveland (OH); Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

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

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Critical thinking

Communication skills

Computer skills

Herramientas

Cerner

InterQual

MCG

Descripción del empleo

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