About this opportunity
MTK HealthCare lists this RN-Case Manager opportunity in portales, New Mexico. Review the employer’s description below for duties, qualifications and application requirements.
Job description
MTK Healthcare Inc. is Hiring
RN Case Manager - Utilization Review & Swing Bed | Portales, NM | Monday-Friday (8:00 AM-4:30 PM), Day Shift
Position Details
Position: RN Case Manager - Utilization Review & Swing Bed
Location: Portales, NM 88130
Contract Length: 13 Weeks
Shift: Monday-Friday, 8:00 AM-4:30 PM (Day Shift)
Pay Rate: $59-$62/hour
Guaranteed Hours: 40 Hours per Week
No On-Call Required
Requirements Active RN License
Minimum 5 years of Case Management experience
Experience in Utilization Review and Discharge Planning
Knowledge of Medicare, Medicaid, HMO, Swing Bed, and Private Insurance coverage
Experience with InterQual criteria and MDS documentation
Key Responsibilities
Perform utilization review, case management, discharge planning, and swing bed coordination.
Evaluate and screen patients for swing bed admissions.
Coordinate discharge planning with patients, families, physicians, and the interdisciplinary care team.
Obtain referrals and prior authorizations for post-acute services.
Complete utilization reviews and ensure appropriate level of care documentation.
Run InterQual reviews for inpatient and observation admissions.
Collaborate with healthcare providers to ensure timely, safe, and effective patient transitions.
Worksite address
portales, NM, 88130, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.