Experience
- Minimum 2 years acute care experience required
- Previous travel experience required
- Experience with HMOs, IPAs, and advance directives required
- Experience in protective services process required
License & Certification Required
- Registered Nurse (RN) license required
Skills Required
- Acute Hospital experience
- Admission Criteria knowledge
- Appeals and Denials understanding
- Benefits Eligibility knowledge
- Care Coordination experience
- Discharge Planning experience
- CMS (Centers for Medicare and Medicaid Services) knowledge
- DrG (Diagnosis Related Groups) knowledge
- Emergency Department experience
- HIPAA guidelines compliance
- ICU experience
- Medical-Surgical experience
- Pediatrics experience
- Prior Authorizations knowledge
- Knowledge of Joint Commission/Core Measure/National Safety Goals
- Workers Compensation case management experience
- Needs Assessment/Order DME experience
Desired Skills
- Experience with SDU/PCU/IMC/Obs patient populations preferred
