RN Manager, Care Management: Lead Discharge & Utilization

Dev; Peoria (AZ); On-site; USD 100,984 - 151,549; Full time

Benefits offered by this job

Comprehensive benefit plans

Continuing education opportunities

Inclusive work culture

Job summary

A leading healthcare provider is seeking an experienced RN Manager for Care Management to oversee case managers and social workers in a collaborative environment. The candidate will resolve issues related to utilization review, lead discharge planning, and ensure compliance with regulations. A Bachelor’s degree in nursing and five years of relevant experience are required. This role offers competitive compensation and valuable benefits. A commitment to inclusivity and diversity is emphasized throughout the organization.

Qualifications

• Graduate of a Bachelor’s degree in nursing program is required.
• Five years of hospital-based case management experience.
• Knowledge of Medicare/Medicaid and other payer sources is essential.
• Strong clinical nursing practice in adult medical/surgical/ICU areas is required.

Responsibilities

• Provide leadership for case managers and social workers.
• Resolve utilization review and denial management issues.
• Collaborate to maximize patient flow and mitigate reimbursement issues.

Skills

Clinical nursing practice

Excellent communication skills

Inpatient utilization review knowledge

Flexibility

Innovative

Education

Bachelor’s degree in nursing (BSN)

Master’s degree (preferred)

Job description

A leading healthcare provider is seeking an experienced RN Manager for Care Management to oversee case managers and social workers in a collaborative environment. The candidate will resolve issues related to utilization review, lead discharge planning, and ensure compliance with regulations. A Bachelor’s degree in nursing and five years of relevant experience are required. This role offers competitive compensation and valuable benefits. A commitment to inclusivity and diversity is emphasized throughout the organization.