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Nurse Case Manager (Psychiatric BSN or MSN)

Nurse Case Manager (Psychiatric BSN or MSN)

Job ID 
2017-2146
# of Openings 
1
Hospital/Program 
Southern Maryland Hospital Center - MedStar
Position Category 
Nursing

More information about this job

Overview

Opportunity for an experienced RN Case Manager to provide skilled psychiatric evaluations, appropriate disposition, and utilization review in the emergency room.

  • Obtain insurance authorizations
  • Completion of utilization review using payer specific criteria
  • Communication liaison betweenpatient and hospital departments
  • ​Use Interqual and MCG to determine medical necessity
  • Analysis and processing of Medicare claims
  • Complete insurace appeals

Requirements/Qualifications

  • BSN or MSN required

  • 2+ years of hospital-based psychiatric experience required (ER preferred)

  • Case management experience, strongly preferred.

  • Extensive knowledge of medical terminology, ICD-9-CM and ICD-10, HCPCS Level II and CPT coding

Hospital/Program Description

MedStar Southern Maryland Hospital Center is a 286 bed facility that provides over 60,000 emergency room visits and 20,000 admissions each year.  The Behavioral Health Department includes a 28 bed Adult inpatient unit and Partial Hospitalization Program. 

 

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