Description

Registered Nurse (RN) | Case Manager
Location: Portales, NM
Agency: Cynet Health
Pay: $2,366 per week
Shift Information: Days - 5 days x 8 hours
Contract Duration: 13 Weeks
Start Date: 8/10/2026

About the Position

Job Title: Acute Care RN Case Manager – Utilization Review Profession: Mid-Revenue Cycle Solutions Specialty: Acute Care RN Case Manager Duration: 13 weeks Shift: 0800-1630 Hours per Shift: 40 Experience: Minimum 5 years Description: This position is responsible for routine case management and discharge planning. Conduct swing bed coordinator and utilization review duties. Evaluate and screen potential admissions to the swing bed program. Knowledgeable of criteria for Medicare, Medicaid, HMO, swing bed, and private insurance coverage. Initiate ongoing communication with residents and their families to assess discharge needs. Actively involved in daily rounds with bedside staff, physicians, and ancillary team members. Communicate with physicians to ascertain their plans for timely discharge. Document updates and discharge planning as part of ongoing review. Manage and collaborate with the healthcare team on swing bed placements. Complete MDS documentation as necessary. Assist with obtaining referrals and prior authorization for home health care, CME, SNF, acute rehab, and appointments. Educate physicians and staff regarding appropriate levels of care/utilization and required documentation that meets admission status. Run Interqual for each inpatient and observation patient admitted.

Requirements

Required for Onboarding

• ACLS
• BLS
• Pharmacology
• Skills Checklist
• Specialty Exam