Travel RN - Case Management/Utilization Review - Case Management

Travel RN - Case Management/Utilization Review - Case Management American Traveler is hiring an RN Case Manager with 3+ years of case management experience and PA or compact RN licensure for a hospital setting in Philadelphia. Acute hospital Case Management department supporting adult and geriatric patients Average daily census of approximately 25 patients Day shift, 5x8 hours, 8:00 AM to 4:30 PMFloating required within scope based on hospital needs No weekend requirement No on-call requirement Uses Epic charting system Active PA RN license or compact license requiredBLS and BSN required Minimum 3 years of Case Management experience required Acute hospital experience requiredLTAC/Rehab/Skilled Nursing experience required Med-Surg and SDU/PCU/IMC/Observation experience required Admission criteria review experience required Care coordination, discharge planning, and utilization review experience required Concurrent review, continued stay, medical necessity, and retrospective review experience required Appeals and denials experience required InterQual Criteria experience required Milliman Guidelines experience required Valid references and copies of certifications required for consideration Supports hospital case management and administrative oversight of Case Management department operations, growth, and development Business casual dress code with a white lab coat required Must be available to work 1 holiday; block scheduling cannot be accommodated First-time travelers are welcome to apply Local candidates accepted with a local rate differential Must reside within a 50-mile radius for local rate eligibilityRTO must be submitted at time of application; no additional time off accepted after submission