Registered Nurse Case Management
AccessHealth · Catoosa, OK · 1 mo ago
On-siteHealthcareFull-time
About the role
Seeking a registered nurse with case management expertise to join a hospital's Case Management department.
Responsibilities
- Ensuring patient‑centered care through medical necessity validation, benefit advocacy, and seamless care transitions.
- Maximizing organizational revenue by preventing claim denials, managing reimbursement processes, and handling appeals.
- Enhancing operational efficiency by coordinating with multidisciplinary teams and optimizing resource use.
- Maintaining quality and compliance by adhering to evidence‑based standards and regulatory requirements.
Qualifications and Skills
- Registered Nurse licensure required; CCM or ACM certification preferred.
- Minimum of 5+ years RN experience.
- 3+ years in case management; hospital discharge planning experience is a plus.
Benefits
- Comprehensive health coverage.
- Retirement plans.
- Professional development opportunities.
- Emotional well‑being resources.