Case Management RN
Philadelphia, PA
Care Career
5x8 hrs, Days
Referral Bonus
$2,417/weekOverview
- Start DateASAP
- Shift Breakdown5x8 hrs
- ShiftDays
- Duration13 weeks
Pay
Benefits
- Referral bonus
- Weekly pay
- Medical benefits
- Continuing Education
- Dental benefits
- Vision benefits
Qualifications
- Your "Profile Strength" must be at 100%
- Registered Nurse (2 years)
- Bachelor of Science, Bachelor of Science in Nursing or Associate of Science in Nursing
Description
Schedule
- Shift: Days, 8:00 AM – 4:30 PM
- Hours: 5 × 8-hour shifts per week
- Contract: 13 weeks
- Weekends: None indicated
- On-call: None
- Holidays: Must be available to work 1 holiday
- Scheduling: No block scheduling
- Local candidates: Accepted with a local rate differential
Responsibilities
- Coordinate care and discharge planning for adult and geriatric patients.
- Perform utilization review (UR), admission criteria reviews, and medical necessity assessments.
- Conduct concurrent, continued-stay, and retrospective reviews.
- Manage appeals and denials.
- Apply InterQual criteria and Milliman Guidelines.
- Support hospital case management operations and departmental administration.
- Collaborate with interdisciplinary teams to ensure appropriate care and resource utilization.
Requirements
- Minimum 3 years of Case Management experience.
- Acute hospital experience.
- Experience in LTAC, rehabilitation, or skilled nursing settings.
- Med-Surg and SDU/PCU/IMC/Observation experience.
- Care coordination, discharge planning, and utilization review experience.
- Appeals and denials experience.
- InterQual and Milliman Guidelines experience.
- Active Pennsylvania RN license required at submission.
- BLS certification and BSN required.
- EPIC experience.
- First-time travelers accepted.
- Flu vaccination required; medical/religious exemptions accepted. COVID vaccination not required.
Employer
Care Career
Care Career brings together a portfolio of leading healthcare staffing organizations, each delivering specialized talent solutions across the industry. Wherever you want to go, We Make It Happen.
With travel nursing jobs across the country, you can discover the possibilities that create the lifestyle and financial position that you have dreamed of.
Care Career is a modern, transparent staffing firm creating the ultimate community of US.
Philadelphia, PA
About
Philadelphia is one of the most exciting cities for history enthusiasts but offers plenty for art lovers and those who appreciate good food and drink. Probably its biggest claim to fame is Independence Hall, where the Founding Fathers of America met to debate and eventually signed the Declaration of Independence and the Constitution. Visitors also marvel at the famously cracked Liberty Bell at Independence National Historical Park. At the burial grounds of Christ Church are the graves of Benjamin Franklin and his wife. While many come to the Philadelphia Museum of Art to re-enact the famous scene from Rocky on its steps, it houses a vast collection of works from around the world. The historic Reading Terminal Market dates back to 1892 as the oldest farmer's market in the country, offering fresh seafood, meat, produce and other local foods.
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