Travel Case Manager

Careers On Demand; Richmond (VA); On-site; USD 143,689; Full time

Benefits offered by this job

Travel Reimbursement

Mileage Compensation

Job summary

A healthcare staffing firm is seeking a qualified RN with over 5 years of Utilization Management experience for a role focused on utilization reviews and multidisciplinary team collaboration in Richmond, Virginia. Candidates must possess a current RN license and the ability to evaluate medical appropriateness of services. The position offers a salary of $3158 weekly gross with a comprehensive compensation package including travel reimbursement. Standard schedule is Monday to Friday, 8 am to 5 pm.

Qualifications

• Minimum 5 years of Utilization Management experience in moderate to large hospital organizations.
• Must hold a current RN license.

Responsibilities

• Responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.
• Function as part of a multidisciplinary team including physicians and case managers.
• Perform reviews of inpatient services and assess medical appropriateness.
• Conduct utilization reviews for both inpatient and outpatient services.

Skills

Utilization Management

Team Collaboration

Medical Guidelines Evaluation

Education

RN License

Job description

Salary & Compensation

$3158/Weekly Gross: $1680/Week Taxable ($42/hr), $1478/Week Tax Free Stipends, Up to $600 for Travel Reimbursement Included. 56 cents per mile up to $300 each way. Paid out 2nd pay check and last pay check. Mileage calculated based on permanent address to facility address. $15/hr for Orientation 13 weeks.

Cost Center: 100466

Schedule

Days M-F 8-5

Day shift Monday thru Friday 8 am to 5 pm

Experience & Credentials

• 5 plus years of Utilization Management experience in moderate to large hospital organization.
• Must have RN license.

Responsibilities

• Responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.
• Function as part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers.
• Perform reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
• Conduct prospective, concurrent and retrospective utilization review for inpatient services, observations, as well as specific outpatient service requests.

Position Urgency

Normal