Travel RN - Case Management/Utilization Review - Case Management

American Traveler, LLC.; Philadelphia (Philadelphia County); Presencial; USD 70.000 - 100.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

High pay and bonuses

Medical, Dental and Vision Insurance

401(k) Plan

Weekly Payroll Deposit

Free Online CEUs

Descripción de la vacante

American Traveler, LLC. is hiring an RN Case Manager with 3+ years of case management experience for a hospital setting in Philadelphia. Must hold PA or compact RN licensure, BLS, and BSN, with active references provided.

The role focuses on care coordination, discharge planning, utilization review, and adherence to InterQual and Milliman guidelines. Day shift, no weekend or on-call requirements, Epic charting, and a local rate differential for nearby candidates.

Formación

• Active PA RN license or compact license required.
• BLS and BSN required.
• Minimum 3 years of Case Management experience.
• Acute hospital experience required.
• LTAC/Rehab/Skilled Nursing experience required.
• Med-Surg and SDU/PCU/IMC/Observation experience required.
• Admission criteria review experience required.
• Care coordination, discharge planning, and utilization review experience required.
• Concurrent review, continued stay, medical necessity, and retrospective review experience required.
• Appeals and denials experience required.
• InterQual Criteria experience required.
• Milliman Guidelines experience required.
• Valid references and copies of certifications required for consideration.

Responsabilidades

• Acute hospital Case Management department supporting adult and geriatric patients.
• Average daily census of approximately 25 patients.
• Day shift, 5x8 hours, 8:00 AM to 4:30 PM.
• Floating required within scope based on hospital needs.
• No weekend requirement.
• No on-call requirement.
• Uses Epic charting system.
• Supports hospital case management and administrative oversight of Case Management department operations, growth, and development.
• Business casual dress code with a white lab coat required.
• Must be available to work 1 holiday; block scheduling cannot be accommodated.
• Local candidates accepted with a local rate differential.
• Must reside within a 50-mile radius for local rate eligibility.
• RTO must be submitted at time of application; no additional time off accepted after submission.

Conocimientos

Active PA RN license

Compact license

BLS

BSN

Case management

Acute hospital experience

LTAC/Rehab/Skilled Nursing

Med-Surg / SDU / PCU / IMC / Observ.

Admission criteria review

Care coordination / discharge planning

Utilization review

Concurrent/continued stay reviews

Medical necessity reviews

Retrospective review

Appeals and denials

InterQual Criteria

Milliman Guidelines

References and certifications

Educación

BSN

PA RN license (implied)

Herramientas

Epic

Descripción del empleo

American Traveler is hiring an RN Case Manager with 3+ years of case management experience and PA or compact RN licensure for a hospital setting in Philadelphia.

Requirements

• Active PA RN license or compact license required
• BLS and BSN required
• Minimum 3 years of Case Management experience required
• Acute hospital experience required
• LTAC/Rehab/Skilled Nursing experience required
• Med-Surg and SDU/PCU/IMC/Observation experience required
• Admission criteria review experience required
• Care coordination, discharge planning, and utilization review experience required
• Concurrent review, continued stay, medical necessity, and retrospective review experience required
• Appeals and denials experience required
• InterQual Criteria experience required
• Milliman Guidelines experience required
• Valid references and copies of certifications required for consideration

Responsibilities

• Acute hospital Case Management department supporting adult and geriatric patients
• Average daily census of approximately 25 patients
• Day shift, 5x8 hours, 8:00 AM to 4:30 PM
• Floating required within scope based on hospital needs
• No weekend requirement
• No on-call requirement
• Uses Epic charting system
• Supports hospital case management and administrative oversight of Case Management department operations, growth, and development
• Business casual dress code with a white lab coat required
• Must be available to work 1 holiday; block scheduling cannot be accommodated
• Local candidates accepted with a local rate differential
• Must reside within a 50-mile radius for local rate eligibility
• RTO must be submitted at time of application; no additional time off accepted after submission

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs

Job ID: P-781586

Open Positions: 1