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Nurse Case Manager (Psychiatric BSN or MSN)

Nurse Case Manager (Psychiatric BSN or MSN)

Job ID 
# of Openings 
Southern Maryland Hospital Center - MedStar
Position Category 

More information about this job


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


  • 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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