Senior Vascular District Manager
Medtronic
Registered Nurse - Case Manager
ACI Federal™
full-time
Posted on:
Location Type: Office
Location: Eureka • California • 🇺🇸 United States
Visit company websiteSalary
💰 $63 - $64 per hour
Job Level
JuniorMid-Level
About the role
- Coordinate patient care and ensure patients receive appropriate services in a timely manner
- Advocate for patients' health needs
- Manage acute care situations and support patients through their healthcare journey
- Patient assessment and case management in hospital medicine
- Perform care coordination, discharge planning, and needs assessment
- Handle prior authorizations, appeals and denials, and benefits eligibility
- Participate in utilization review and admission criteria evaluation
- Manage worker's compensation case management and regulatory compliance (CMS, DRG, HIPAA, The Joint Commission)
Requirements
- Years of Experience: 2 year(s) Required
- Epic Travel Experience Required: Yes
- Shift: Day 5x8-Hour (08:00 - 16:30)
- Job Duration: 13 weeks
- Job Types: Full-time, Contract
- Skills: Work Settings Acute Hospital
- Case Management/Utilization Review
- Admission Criteria
- Appeals and Denials
- Benefits Eligibility
- Care coordination
- Discharge Planning
- Needs Assessment/ Order DME
- Prior Authorizations*
- Worker’s comp case management*
- Regulatory CMS: Centers for Medicare and Medicaid Services
- DRG (Diagnosis Related Groups)*
- HIPAA guidelines (Health Insurance Portability and Accountability Act)
- The Joint Commission/ Core Measure/National Safety Goals
- Acute Hospital Experience by Specialty ER ICU MS Pediatrics SDU/PCU/IMC/Obs
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
patient assessmentcase managementcare coordinationdischarge planningneeds assessmentprior authorizationsworker's compensation case managementutilization reviewadmission criteriabenefits eligibility
Soft skills
advocacycommunicationpatient supportorganizational skills
Certifications
HIPAA compliance
