Manager, RN Case Management
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 include utilization review, case management, knowledge of payor mix in Maryland, Meditech, hospital experience, and discharge planning.
The ideal candidate must have excellent management skills and experience. Self-starter. Collaborative, work will with nursing staff and physicians. Innovative.
The ideal candidate should have worked for the following company(ies): non-profit hospitals, health insurance companies or health systems.
Offer excellent benefits and compensation. Values based leadership. Committed to our community and quality of care.