RN Case Manager / per-diem

RN Case Manager coordinates, negotiates, and procures services for complex patients, reviewing medical necessity for admission and continued stay, discharge planning, and care coordination to optimize quality and cost-effective healthcare. Works with interdisciplinary teams to ensure appropriate utilization, identify barriers to timely discharge, and facilitate transitions of care, including ensuring proper documentation, communicating with physicians, payers, and family, and supporting Medicare/insurance requirements. Requires RN licensure, case-management certification or ACM/ CCM readiness within two years, and a Bachelor's degree strongly preferred; 3-5 years acute care experience preferred, including critical care or emergency department exposure. The role includes night/weekend shifts totaling at least 32 hours in the 4-week schedule and participation in quality improvement initiatives. Licensure and certification requirements, payer knowledge, and proficiency with EHR/Interqual tools are emphasized.