Urgent! RN Case Manager - Utilization Review Job Opening In Browns Mills NJ – Now Hiring Deborah Heart and Lung Center
Job Details Description Position Summary : The Utilization Review Case Manager validates the patient�s placement to be at the most appropriate level of care based on nationally accepted admission criteria.
The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures and an estimation of the patient�s expected length of stay.
The UR Case Manager secures authorization for the patient�s clinical services through timely collaboration and communication with payers as required.
The UR Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review.
Experience Required: 3 to 5 years acute care nursing experience Preferred: Experience in case management Education Required: Graduate of accredited diploma, associate degree or baccalaureate degree nursing program Preferred: BSN preferred License and Credentials Required: NJ RN licensure Preferred: Certification in case management Required Skills Current sound clinical knowledge; knowledge of medical literature, research methodology, financial/ reimbursement issues.
Strong collaboration, communication and interpersonal skills.
Excellent organizational and time management skills.
Knowledge of computers, Electronic Health Records, data base systems and utilization review/case management documentation systems.
Desire to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams.
Current knowledge of discharge planning, resource management, and care coordination in an acute care setting.
Knowledge of CMS, commercial payer requirements and hospital financial/reimbursement processes.
Excellent written/verbal communication skills, critical thinking skills, creative problem solving skills, good organizational and planning skills.
Must be self-directed, have the ability to tolerate frequent interruption and work in a fast-paced work environment.
Knowledge of funding, resources, services, clinical standards, care coordination processes and outcomes is preferred.
Weekend, Holiday and on call may be required.
Bi-Weekly Hours: 80 Work Schedule: M - F (Weekends, Holidays, or On Call may be required) The minimum starting rate for this position is $40.67 When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).
At Deborah, healthcare is still about caringfor patients and team members.
That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week.
The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.
Qualifications 0 style=display: none;> Skills 0> 0> 0 style=display: none;> Behaviors 0> 0> : 0 style=display: none;> Motivations 0> 0> : 0> Education 0> 0> Preferred Bachelor Science Nursing or better in Nursing.
0 style=display: none;> Experience 0> 0> 0> Licenses & Certifications 0> Required Registered Prof.
Nurse 0> Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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Unlock Your RN Case Potential: Insight & Career Growth Guide
Real-time RN Case Jobs Trends in Browns Mills, NJ, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for RN Case in Browns Mills, NJ, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 139096 jobs in United States and 193 jobs in Browns Mills, NJ. This comprehensive analysis highlights market share and opportunities for professionals in RN Case roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Deborah Heart and Lung Center is currently hiring and seeking a RN Case Manager Utilization Review to join their team. Feel free to download the job details.
Wait no longer! Are you also interested in exploring similar jobs? Search now: RN Case Manager Utilization Review Jobs Browns Mills NJ.
An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Deborah Heart and Lung Center adheres to the cultural norms as outlined by Expertini.
The fundamental ethical values are:The average salary range for a RN Case Manager Utilization Review Jobs United States varies, but the pay scale is rated "Standard" in Browns Mills NJ. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
Key qualifications for RN Case Manager Utilization Review typically include Other General and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.
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Before the Interview:To prepare for your RN Case Manager Utilization Review interview at Deborah Heart and Lung Center, research the company, understand the job requirements, and practice common interview questions.
Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Deborah Heart and Lung Center's products or services and be prepared to discuss how you can contribute to their success.
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