RN Case Manager / per-diem

RN Case Manager position (per-diem) responsible for patient advocacy, coordinating and managing care for complex patients, applying InterQual criteria to determine medical necessity, and performing discharge planning to facilitate cost-effective, quality healthcare. The role collaborates with interdisciplinary teams, identifies barriers to timely discharge, communicates with physicians and payers, utilizes case management principles to optimize resource use and patient outcomes, and ensures compliance with regulatory requirements. Responsibilities include reviewing medical records for observation/admission status, coordinating care transitions, arranging referrals to post-acute services, and supporting documentation for reimbursement. Requires RN licensure, ACA/ CCM credentials within two years, and 3-5 years acute care experience; preferred qualifications include bachelor's degree and CCM/ACM certification.