RN Case Manager / per-diem

RN Case Manager coordinates care for complex patients, advocates for patients, and facilitates cost-effective, high-quality care. Uses InterQual criteria to determine medical necessity for admission and continued stay, performs discharge planning and care coordination, and collaborates with interdisciplinary teams to optimize resource utilization and reimbursement. Responsibilities include reviewing medical records for observation and inpatient status, identifying cases not meeting criteria, notifying physicians about documentation requirements, arranging timely discharges, coordinating post-acute care, and ensuring compliance with payer guidelines. Requires an RN license; CCM/ACM certification preferred. Minimum work schedule includes 32 hours with two shifts involving night/weekend coverage and at least one major holiday per 4-week cycle.