Job Title: RN – Case Manager
Job Location: Atlanta, GA 30305
Job Duration: 13 Weeks (Possibility of Extension)
Shift Options: Monday – Friday | 8:30 AM – 5:00 PM
Pay:

Travel Pay : $3058/weekly

Local Pay: $70/hr on W2

Job Summary:

• Performs utilization review to ensure appropriate level of care, medical necessity, and compliance with payer and regulatory guidelines.
• Conducts concurrent and retrospective reviews of patient records.
• Collaborates with physicians, case managers, and interdisciplinary teams to facilitate efficient patient care and discharge planning.
• Coordinates discharge planning and ensures timely transitions of care.
• Communicates with insurance providers regarding authorizations and continued stay reviews.
• Documents reviews, care coordination activities, and outcomes in the electronic medical record.
• Maintains compliance with hospital policies, CMS regulations, and accreditation standards.
• Performs other duties as assigned.

Requirements:

• Minimum one (1) year of recent Utilization Review (UR) experience.
• Experience with case management and discharge planning.
• Experience using ClientG and Epic EMR.
• BLS (AHA) – Required.