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Registered Nurse Case Manager - Philadelphia to $95000

Philadelphia, PA
OPEN JOB: RN Case Manager - Special Needs
Customer: Large Pediatric Hospital
LOCATION: Philadelphia, Pa
RELOCATION - Possible for ideal candidate

  • The RN Case Manager – Special Needs, coordinates, manages and procures the discharge needs of pediatric special needs patients identified as requiring post acute care services via initial admission screen, assessment and consults.
  • This is achieved by collaboration with the family, the care team including physicians, nursing and other healthcare professionals.
  • The Case Manager performs daily utilization review and conveys pertinent telephonic information to third party payers to secure appropriate acute care reimbursement within the time requirements of the payer.
  • The Case Manager appeals 100% of all third party payer denials for acute care reimbursement according to the guidelines for the PA Region.
  • The Case Manager performs ongoing PI/QA during concurrent review to identify quality of care issues, risk management issues, and performs blood/blood products and medication utilization.
Education Requirements
  • 4 year/Bachelor's Degree
Certification and Licensure
  • PA Registered Nurse License
Experience Level:
  • 2+ to 5 years experience
  • The employer is a 188-bed facility that provides exceptional care to children throughout the Greater Philadelphia area and surrounding counties.

If you are interested in pursuing this opportunity, please respond back and include the following:
• Full MS WORD Resume
• Required compensation
• Contact information
• Availability

Upon receipt, one of our managers will contact you to discuss in full

Recruiting Manager

EMAIL: jdenmark@intermediagroup.com


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