$75,670.40 - $121,076.80 / year
RN Case Manager- TidalHealth Atlantic Why work at TidalHealth? Join a triple 'A' rated team where clinical excellence meets a coastal lifestyle. At TidalHealth, you’ll be part of an award-winning network spanning Maryland and Delaware, recognized by the Leapfrog Hospital Safety Guide for our unwavering commitment to patient care. Whether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel. RN Case Manager- AGH Position Summary Assumes Care Coordination and Utilization Review functions for all patients. Facilitates the collaborative management of patients to prevent E.D. recidivism, unnecessary admissions and re-admissions. Initiates clinical review, denials / appeals and medical necessity for those being placed in a clinical bed to ensure “right patient / right level of care.” RN Case Manager- AGH Position Requirements Required Education and Experience Graduation from an accredited RN nursing program. 2-5 years clinical experience. Prior utilization review experience preferred. Knowledge of MCG (Milliman) criteria preferred. Knowledge of community based resources. Preferred Education and Experience Bachelor’s degree preferred Prior work experience should be directly related to core job functions. Two years’ experience in healthcare setting. Prior Case Management experience required. Ability to multi-task and perform functions in a fast-paced setting. Knowledge of insurance, and associated coordination of healthcare services. Required Credentials (i.e. Licensure, Certification, etc.) Valid RN License is required within the state in which you live. RN Case Manager- AGH Benefits Benefits: We provide a robust benefits suite for our eligible team members (36+ hours for 12-hour shifts; 37.5+ hours for standard shifts): Health: Medical (including HSA), Dental, Vision, & Prescription Wealth: Matching 403(b), Healthcare FSAs, & Dependent Care FSAs Growth: $5,000 Tuition Assistance & Certification support Balance: Generous PTO and Holidays, Onsite Child Care, Pet Insurance Income Protection & Leave: Employer-Paid Short-Term Disability, Paid Leave Program, & Long-Term Disability (LTD for FT) Life & Security: Employer-paid Life and additional voluntary benefits such as Accident, Critical Care, additional Life, and more Salary range:$75,670.40 - $121,076.80 Commensurate with experience 
