Location: Silver Spring,MD, USA
Trinity Health FirstChoice is seeking a travel nurse RN Case Management Manager for a travel nursing job in Silver Spring, Maryland.
Job Description & RequirementsInterim Manager, Case Management and Utilization Review.13 weeksCompensation: $3200.00 weekly with travel paid.The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with the Director, is responsible and accountable for the operational management, leadership, professional development and quality assessment and improvement activities of the department, particularly the Care Managers. Manages the activities of hospital staff in inpatient care coordination and utilization review. Oversees interactions of staff with outside activities and agencies on regulations affecting patient status and insurance. Collaborates and maintains positive working relationships with physicians, physician advisor and external review organizations to ensure quality outcomes, patient throughput, and appropriate resource utilization while supporting the HCH mission. Collaborates with the denials prevention and management staff to ensure a low medical necessity denial rate.Minimum Licensure/Certification Required:State of Maryland license as a Registered NurseRN with BSN or RN with > 10 years case management experience. Masters Degree preferred. Minimum Knowledge, Skills, and Abilities Required:At least 3 years of experience in hospital case management or related activityAt least 10 years clinical experience in an acute healthcare settingMinimum of 1–3 years management/supervision/leadership experience in an acute healthcare setting required, preferably with case management, utilization review or closely related area.Extensive knowledge of payer mechanisms and clinical utilization management is required. Knowledge of pertinent regulatory, accreditation, public and private service organizational activities relating to discharge planning and resource utilization. Evidence of prior successful interaction with external review organizations.Demonstrated ability to establish and maintain effective interpersonal relationships with all levels of personnel, medical staff, and community, as well as a demonstrated ability to work effectively with interdisciplinary teams.Demonstrated ability to lead through collaboration and influence.Reads, writes, speaks and comprehends the English language.Computer literacy and analytic skills required.
Trinity Health FirstChoice Job ID #DL_10102024. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Manager Case Manager
About Trinity Health FirstChoicePremium payFirstChoice offers a rewarding career with significant premium pay and flexible scheduling to fit your life. FirstChoice healthcare travel professionals fill critical positions when unforeseen or unplanned circumstances occur; or, when there is a position open due to an extended leave-of-absence. You'll get to experience a variety of practice settings while traveling within your local region or traveling nationally – your choice!
Healthcare travel professionals, join us in caring for our community, we can't do it without you.FirstChoice exclusively supports facilities within the Trinity Health system meaning you will have a consistent experience between job sites. Your training at one site will apply to other sites within the region and will minimize the time you are spending outside of patient care. We understand that there has been a fundamental shift in the nursing position in recent years and like any other employee, nurses want more options and flexibility in their careers. FirstChoice provides you with both along with the comfort and security of one employer.
Benefits of Being a FirstChoice healthcare travel professional:
Minimum Qualifications/Requirements of a FirstChoice Nurse:
Trinity Health is a leading not-for-profit Catholic health system with 92 hospitals and hundreds of primary, specialty and continuing care centers across the United States.
Benefits