Travel Nurse Manager RN - Case Management
Silver Spring, MD
Trinity Health FirstChoice
5x8 hrs, Days

Interim Manager, Case Management and Utilization Review.
13 weeks
Compensation: $3200.00 weekly with travel paid.
The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with the Director, is responsible and accountable for the operational management, leadership, professional development and quality assessment and improvement activities of the department, particularly the Care Managers.
Manages the activities of hospital staff in inpatient care coordination and utilization review. Oversees interactions of staff with outside activities and agencies on regulations affecting patient status and insurance.
Collaborates and maintains positive working relationships with physicians, physician advisor and external review organizations to ensure quality outcomes, patient throughput, and appropriate resource utilization while supporting the HCH mission. Collaborates with the denials prevention and management staff to ensure a low medical necessity denial rate.
Minimum Licensure/Certification Required:
State of Maryland license as a Registered Nurse
RN with BSN or RN with > 10 years case management experience. Masters Degree preferred.
Minimum Knowledge, Skills, and Abilities Required:
At least 3 years of experience in hospital case management or related activity
At least 10 years clinical experience in an acute healthcare setting
Minimum of 1–3 years management/supervision/leadership experience in an acute healthcare setting required, preferably with case management, utilization review or closely related area.
Extensive knowledge of payer mechanisms and clinical utilization management is required.
Knowledge of pertinent regulatory, accreditation, public and private service organizational activities relating to discharge planning and resource utilization. Evidence of prior successful interaction with external review organizations.
Demonstrated ability to establish and maintain effective interpersonal relationships with all levels of personnel, medical staff, and community, as well as a demonstrated ability to work effectively with interdisciplinary teams.
Demonstrated ability to lead through collaboration and influence.
Reads, writes, speaks and comprehends the English language.
Computer literacy and analytic skills required.