Manager, RN Case Management

Healthcare  Manager, RN Case Management  Elkton Exp 2-5 years Deg Bachelors Relo Bonus Job Description  This position has oversight and management of daily operations of the Case Management Department for the utilization management and care transition functions. The scope of this role includes denials management, minimizing clinical denials and facilitating reimbursement of services, management of payer requirements, and supporting regulatory compliance issues. This position also manages the daily operations of the assigned areas of responsibility. Must be an RN either Maryland licensed or Compact state SKILLS AND CERTIFICATIONS Utilization Review  Case Management  knowledge of payor mix in Maryland  meditech  Must have Hospital Experience  Discharge planning  IDEAL CANDIDATE must have excellent management skills and experience. self-starter. Collaborative, work will with Nursing staff and physicians. Innovative. IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES):  Non-profit Hospitals, Health Insurance Companies or Health Systems WHY WE'RE A GREAT COMPANY Offer excellent benefits and compensation. Values based leadership. Committed to our community and quality of care. All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc