Case Manager RN (H) Remote
Core
Coordinates interdisciplinary plan of care for patients from admission to discharge, acting as a liaison between patients, families, healthcare personnel, and insurers.
Role type
Case Manager RN
Builds
Discharge plans and transition plans
Domain
Healthcare / Patient Care Management
Required skills
Registered Nurse (RN) licensing, 2+ years relevant experience, chart review, patient interviews, care plan evaluation, insurance authorization, regulatory compliance, discharge planning
Preferred skills
Knowledge of insurance reimbursement policies, ability to identify patient risk factors, problem-solving under pressure
Technologies
Electronic Health Records (EHR), Insurance systems
Responsibilities
Identify patient risk factors and obstacles to care, evaluate care plans via chart review and interviews, educate patients and families on care progression, facilitate ongoing insurance authorization, maintain knowledge of reimbursement policies, suggest revisions to clinical pathways
Seniority
Mid-level, hands-on IC