SRMC Has an Exciting Opportunity for Qualified Candidates!

Position: Full Time RN Case Manager/Utilization Review

Department: Case Management

Shift: 8:00 am – 4:30 pm

PURPOSE

To conduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized, evidence-based guidelines approved by medical staff to recommend level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations, and documentation improvement activities.

QUALIFICATIONS

• Registered nurse
• Expert knowledge of MCG or InterQual Level of Care Criteria and knowledge of local and national coverage determinations
• Hospital Case Management Experience preferred
• Eligibility to remain in position requires a 90% proficiency rating based on chart audits

BENEFITS

· Competitive wages

· Medical/prescription insurance

· Dental insurance

· Vision insurance

· Accident and critical insurance

· Employer paid life insurance

· 403 (b) retirement with employer matching 

· Tuition reimbursement

· Continuing education reimbursement

· Cafeteria discounts

· Employee Assistance Program

· Shift differential