Top 10 Registered nurse case manager Jobs in Conway, Ar

Case Manager PRN
Conway Regional Heath System —Conway, AR
- PRN
- Nursing
- RN License
- Research
14d
Non-Clinical Nurse Case Manager
LifeHealth LLC —North Little Rock, AR
- $31.72 an hour
- Full-time
- Background check
- RN License
- Mid-level
Quick Apply
Medical Case Manager II
CorVel Corporation —Little Rock, AR
- $66,941 - $101,258 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
13d
Care Transition Coordinator
Adoration Health —Little Rock, AR
- Full-time
- RN License
- Physical & Rehabilitation Medicine
- Mid-level
Specialty Clinical Coordinator-Intensive Care
Baptist Health Arkansas —North Little Rock, AR
- Full-time
- RN License
- BLS Certification
- Mid-level
9d
Specialty Clinical Coordinator-Coronary Care Unit
Baptist Health Arkansas —North Little Rock, AR
- Full-time
- RN License
- BLS Certification
- Mid-level

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Non-Clinical Nurse Case Manager
LifeHealth LLC —North Little Rock, AR
Must not have had any professional licensure or certification withheld, suspended, revoked, or denied, and the candidate must not have surrendered or allowed a…
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Full Time Nurse Case Manager
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Travel is involved in order to complete audits and health services coordination activities in Franklin and surrounding counties.
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registered nurse case manager jobs near conway, ar

Case Manager PRN

Conway Regional Heath System -
Conway, AR

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Job Details

PRN
14 days ago

Qualifications

Collaborate with healthcare professionals
Appeals
Nursing
Inpatient experience
RN License
Overseeing healthcare denial management
Filing
Employee relationship building
Research
Mid-level
Transitional care planning in clinical case management
Case appeal in utilization management
Records management
Data management
Utilization management
Medical record retrieval
Resource utilization in healthcare
Concurrent review in utilization management
LPN
1 year
Clinical confidentiality policies
Managing patient records
Clinical data analysis
Managing patients as a clinical case manager
Insurance claims appeal handling
Process management
Nursing

Full Job Description

Overview:

Provides discharge planning and utilization review services in compliance with patients discharge planning needs and the hospital’s utilization review program.

SAFETY SENSITIVE POSITION:

This position is a designated as “Safety Sensitive Position” under Act 593 of the State of Arkansas. An employee who is under the influence of Marijuana constitutes a threat to patients/customers which Conway Regional is responsible for in providing and supporting the delivery health care related services.

Qualifications:

Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required
Proof of the highest level of nursing education achieved, required
At least one-year experience in the area of case management/utilization review, preferred

Responsibilities:

Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review.
Effectively organizes workflow to consistently complete assignments in a timely manner.
Demonstrates ability to access and effectively utilize primary sources of data.
Obtains and maintains medical records in conformance with Medical Information policies.
Communicates with co-workers in a manner that is conducive to positive and effective working relationships. Demonstrates respect, honesty and integrity when working with other service providers.
Demonstrates compliance with all relevant hospital, state and federal requirements related to maintenance of confidentiality of persons, data and information systems.
Takes advantage of opportunities made available through CRHS and other professional organizations for continued professional growth and development.
Responsible for analysis of patient information for determination of necessity of admission or continuation of stay.
Review for medical necessity of admission on the first working day after admission using approved review criteria.
Reviews inpatient procedures to determine appropriate utilization and acuity level. Reviews potential for outpatient setting or swing bed utilization.
Reviews all patients for medical necessity of continued stay, or before the next review date, using approved review criteria.
Performs retroactive reviews, as necessary, and responds to the appropriate review agency or third party payor.
Researches denials issued by review agencies and third party payors and responds within the specified time frames for appeal.
Works with others on healthcare team to coordinate for patients discharge needs.
Establishes an effective utilization review process and maintains an active, effective utilization review file system. Recommends, develops and revises policies related to the utilization review process.
Works collaboratively with physicians, Case Management, the discharge planning process, Admissions, Central Scheduling and other CRHS associates.
Educates staff, physicians and other personnel regarding medical necessity requirements as defined by approved review criteria.
Assists with other department functions as assigned.

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Refine Your Search

registered nurse case manager jobs in conway, ar

Case Manager PRN

Non-Clinical Nurse Case Manager

Medical Case Manager II

Care Transition Coordinator

Specialty Clinical Coordinator-Intensive Care

Specialty Clinical Coordinator-Coronary Care Unit

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