Job Title : RN Case Manager
Location : Jackson, Michigan, 49201
Contract duration : 15 weeks
Shift : 5X8 -hours
Schedule : Days
Guaranteed Hours : 40 / week
Key Responsibilities :
- Facilitate precertification and payor authorization processes.
- Collaborate with care teams to remove barriers and ensure timely patient care and reimbursement.
- Apply process improvement techniques to evaluate patient care outcomes.
- Support clinical documentation efforts, working closely with coders to ensure accurate documentation of patient conditions and care intensity.
- Coordinate communication between physicians, payors, patients, and families.
- Demonstrate understanding of appropriate patient care throughout different life stages.
Requirements :
Minimum 2 years of case management experience (utilization case management experience not applicable).Current, active Michigan RN license.Bachelor of Science in Nursing (BSN).Preferred :
Experience with Care Manager and Epic systems.Experience with discharge planning.Minimum 3 years RN clinical experience.Knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.Interested? Apply now!
About Pride Health :
Pride Health is Pride Global healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.
Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
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