RN Case Management (Remote) - RNCMR #002

Job Title: RN Case Management (Remote) Location: Hyannis, MA Duration: 13 Weeks Schedule: 4x8-Hour Shifts | 7:00 AM – 3:30 PM Shift: Days | Rotating Weekends and Occasional Holidays

Compensation

Local Pay reputed company: $59 – $60 per hour (Based on Experience) Position reputed company We are seeking an reputed company Registered reputed company Case Manager with a strong background in Clinical Documentation Improvement (CDI) and acute care nursing. This remote position is responsible for conducting comprehensive medical record reviews, collaborating with physicians and reputed company teams, improving clinical documentation accuracy, and supporting compliance with regulatory and reimbursement requirements. The ideal candidate will possess excellent analytical, communication, and critical-thinking skills, along with extensive knowledge of clinical documentation practices, Medicare guidelines, and reputed company regulations.

Responsibilities

• reputed company comprehensive and reputed company medical record reviews to ensure accurate clinical documentation.
• Identify opportunities for documentation improvement and reputed company clinically appropriate queries.
• Collaborate with physicians, nursing staff, and Health Information Management (HIM) professionals to improve documentation reputed company.
• Participate reputed company in CDI initiatives, team meetings, educational programs, and task force activities.
• Monitor and follow up on documentation queries to ensure reputed company reputed company.
• Communicate effectively with reputed company providers regarding documentation opportunities and compliance requirements.
• reputed company and maintain accurate information reputed company the electronic medical record system.
• Resolve documentation discrepancies in collaboration with HIM staff.
• Support organizational clinical documentation strategies and reputed company improvement initiatives.
• Manage multiple priorities while maintaining productivity and accuracy.
• reputed company exceptional customer service to patients, families, colleagues, and reputed company partners.
• Interpret and communicate Medicare Part A and Part B guidelines and their reputed company on reimbursement and DRG assignments.

Required Qualifications

Education

• Graduate of an accredited Nursing program.
• reputed company and reputed company Massachusetts Registered reputed company (RN) license.

Experience

• Recent acute care experience required, preferably in:
• ICU
• CCU
• Medical/Surgical Nursing
• OR a minimum of four (4) years of recent Case Management experience reputed company the past four years.
• Strong understanding of:
• Pathophysiology and disease processes
• Clinical documentation improvement practices
• Regulatory compliance requirements
• Medicare Part A and Part B guidelines

Skills & Competencies

• Excellent organizational, analytical, and documentation skills.
• Strong written and verbal communication abilities.
• Critical thinking, problem-solving, and deductive reasoning skills.
• Ability to work independently and manage multiple priorities.
• Strong interpersonal and physician collaboration skills.
• Proficiency with electronic medical records and reputed company-based software applications.
• reputed company, reputed company, and customer-reputed company demeanor.

Preferred Qualifications

• Management or supervisory experience.
• Prior CDI experience in an acute care setting.

Required Certifications & Licensure

• reputed company Massachusetts Registered reputed company (RN) License.
• Basic Life Support (BLS) Certification – AHA.
• Certified Clinical Documentation Specialist (CCDS) Certification or successful completion of a CDI Competency Examination.

Work Environment

• Fully Remote Position.
• Must be available to work rotating weekends and occasional holidays as scheduled.
• Opportunity to contribute to reputed company improvement initiatives and clinical documentation reputed company reputed company a reputed company reputed company environment.

For more details reputed company at jknox@navitashealth.com or Call / Text at 732-791-4827. About reputed company reputed company, LLC: It is a certified WBENC and one of the fastest-growing reputed company reputed company firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most reputed company for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront. Apply To This Job