Job Details

Job Description:

This position is responsible for:
Routine case management, discharge planning, swing bed coordinator and utilization review duties.
Evaluating and screening potential admissions to the facilities swing bed program
knowledgeable of criteria for Medicare, Medicaid, HMO, swing bed and private insurance coverage
Initiate ongoing communication with the resident and resident's family to assess discharge needs.
Actively involvement in daily rounds with bedside staff, physicians and ancillary team members
Communicate with physicians to ascertain their plans for a timely discharge.
document updates and discharge planning as an ongoing review.
Manage and collaborate with the healthcare team on swing bed placement and complete MDS documentation as necessary.
assist with obtaining referrals, prior authorization for Home Health Care, CME, SNF, acute rehab and appointments.
Educates physicians and staff regarding appropriate level of care/utilization and required documentation that meets admission status
Run Interqual for each IP and OBS patient admitted to the floor

Position Urgency:
Normal

Shifts:
0800-1630

State License Details:
Must Be Currently Active

Minimum Years of Experience:
5

Minimum Guaranteed Hours:
No Guarantee

Specialty Type:
Mid-Revenue Cycle Solutions

Sub Specialty:
Acute Care RN Case Manager – Utilization Review, Acute Care RN Case Manager – Discharge Planning, Acute Care RN Case Manager – Util Rev/Discharge Planning , Acute Care RN Case Manager – Util Rev/Appeals & Denials

Bilingual:
No

EMR Used:
Meditech

Holiday Coverage Required:
No

Pay Rate
$56.66 - $61.53/hour

About us :
At MedCadre , we’re dedicated collaborators, bridging the gap between top-tier professionals and healthcare organizations that prioritize excellence. By fostering transparent communication and leveraging deep industry expertise, we build enduring partnerships rooted in trust.

For more relevant healthcare job opportunities, please visit our website: MedCadre Careers