RN Case Manager / per-diem

RN Case Manager coordinates care for SSH&EC clients, acts as patient advocate, and manages complex patient care to facilitate quality and cost-effective outcomes. Responsibilities include reviewing medical records to determine medical necessity, discharge planning, care coordination across the continuum, and utilization of InterQual criteria; works with interdisciplinary team to optimize resources, ensure timely documentation, and minimize delays in care while maintaining high-quality patient care. Requires negotiation and communication skills to arrange services and referrals, and to collaborate with physicians, payers, and staff. Shift pattern includes night/weekend coverage and a major holiday each season; role emphasizes clinical leadership in case management, utilization management, and care transitions.