Experience
- Minimum 2 years acute care experience required
- Previous travel experience required
- Experience with HMOs, IPAs, advance directives, POLST, and protective services process required
- Current Case Management experience required within the last year
License & Certification Required
- Registered Nurse (RN) license required
- Compact license must be in hand at submission
Skills Required
- Care coordination
- Discharge Planning
- Benefits eligibility
- Admission criteria
- Appeals and denials
- CMS: Centers for Medicare and Medicaid Services experience
- Diagnosis Related Groups (DRG) experience
- Experience with HIPAA guidelines
- ICU, MS, Pediatrics patient care experience
- Prior authorizations experience
- Experience with worker's comp case management
Desired Skills
- Experience with interdisciplinary support including social services
- Experience with the Joint Commission, Core Measure, and National Safety Goals
- Experience in case management for various patient age groups including adolescents, adults, pediatrics, and geriatrics
