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Contract Rn Case Review Jobs in Kentucky (NOW HIRING)

Seven Healthcare

RN - Case Management

Ashland, KY · On-site

RN - Case Management Seven Healthcare are seeking an experienced RN specializing in Case Management for a travel assignment in Ashland, KY. This rewarding role supports home health services across ...

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Contract Rn Case Review information

How does a contract RN case review typically collaborate with other healthcare team members?

As a Contract RN Case Review professional, you'll frequently coordinate with physicians, social workers, and other nursing staff to ensure comprehensive patient care. Collaboration often involves reviewing patient charts, discussing care plans, and providing recommendations for discharge planning or ongoing management. Effective communication is key, as you'll need to relay findings and updates to both internal teams and external case managers. This role often requires balancing independent, detailed review work with regular interdisciplinary meetings to drive optimal outcomes for patients.

What are the key skills and qualifications needed to thrive as a contract RN case review?

To thrive as a Contract RN Case Review, you need a valid RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (such as ICD-10, CPT), case management software, and knowledge of regulatory guidelines like Medicare and Medicaid are typically required. Excellent analytical thinking, attention to detail, and effective communication skills are crucial soft skills for this role. These competencies ensure accurate case assessments, compliance with healthcare regulations, and effective collaboration with providers and payers.

What is the difference between Contract Rn Case Review vs Contract Rn Case Management?

AspectContract Rn Case ReviewContract Rn Case Management
CertificationsRN license, case review certificationsRN license, case management certifications (e.g., CCM)
Work EnvironmentReviewing medical records, assessing casesCoordinating patient care, managing cases
Employer & IndustryInsurance companies, healthcare agenciesHealthcare providers, insurance companies
Search & Comparison IntentUnderstanding case review roles, job differencesExploring case management careers, job duties

Contract Rn Case Review focuses on evaluating medical records and determining coverage or compliance, while Contract Rn Case Management involves coordinating patient care and managing cases throughout treatment. Both roles require RN licensure, but they differ in daily tasks and responsibilities within the healthcare and insurance industries.

What is a contract RN case review?

A Contract RN Case Review nurse is a registered nurse who is hired on a contractual basis to evaluate patient cases, often for insurance companies, hospitals, or healthcare organizations. Their main duties include reviewing medical records, ensuring compliance with clinical guidelines, and providing recommendations for patient care or coverage decisions. These nurses typically work remotely or in office settings and may be responsible for communicating findings to healthcare providers or insurance adjusters. This role requires strong clinical knowledge, attention to detail, and excellent communication skills.

What are the most commonly searched types of Rn Case Review jobs in Kentucky?

The most popular types of Rn Case Review jobs in Kentucky are:

What cities in Kentucky are hiring for Contract Rn Case Review jobs?

Cities in Kentucky with the most Contract Rn Case Review job openings:

Contract Rn Case Review jobs near you

RN Case Manager- Home Visits

Interim HealthCare

Williamstown, KY

Full-time, Part-time, Per diem

Posted 26 days ago

Job description

Description

Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.

What we offer our Registered Nurse Case Managers (RNCM):

Competitive pay, benefits, and incentives.

Truly flexible scheduling - a dedication to work/life balance - Full-time/ Part-time / PRN / Weekends

Daily Pay option available

No Overtime Required

1:1 patient care

Excited to hear more?

Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.

As a Registered Nurse Case Manager (RNCM), you will:

Conduct In Person patient interviews and comprehensive physical assessments.

Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.

Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.

Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.

Work to decrease readmissions by promoting preventative care and ensuring continuity of care.

To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need:

Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position

Current CPR/AED/BLS/First Aid certification

Reliable transportation to/from care sites and/or work locations.

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.

OASIS experience preferred.

Practical trach and/or ventilator experience preferred, not required.

At Interim HealthCare, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

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