RN: Case Manager

Job Description:

Support adult and geriatric patients through hospital case management, care coordination, discharge planning, utilization review, and medical necessity review. This travel assignment includes admission criteria review, concurrent and retrospective review, appeals and denials, and discharge planning using InterQual Criteria and Milliman Guidelines. You will also contribute to the administrative oversight, growth, and development of the Case Management department while floating within scope as needed. Epic experience, acute hospital experience, and experience with Med-Surg, SDU, PCU, IMC, or observation settings are required. A Pennsylvania RN license, BSN, BLS, and three years of Case Management experience are required.

Weather:

Expect crisp, cool conditions with comfortable daytime temperatures, chilly evenings, and occasional rain. Layered clothing and a light rain jacket are useful for exploring the city.

Fun Things To Do:

• Historic Philadelphia: Explore Independence Hall, the Liberty Bell area, and nearby historic streets.
• Reading Terminal Market: Sample local specialties and browse one of the city’s best-known indoor markets.
• Philadelphia Museum of Art: Visit the galleries and enjoy views along the Benjamin Franklin Parkway.
• Day Trip - Longwood Gardens: Spend the day exploring the expansive gardens, conservatory, and seasonal displays.
• Day Trip - Lancaster: Experience Pennsylvania Dutch country, local markets, and scenic countryside.

Job Specifics:

City and State: Philadelphia, Pennsylvania

Shift: 8-hour day shift, 8:00 a.m.–4:30 p.m.

Duration: 104 hours per week over 13 weeks