Travel Nurse RN - Case Manager - $2,563 per week in New York City, NY

TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in New York City, New York, 10004! Pay Information $2,563 per week About The Position Job Title: Chart Review Nurse Profession: RN Specialty: Clinical Review Duration: 9 months Shift: Hybrid (9 AM - 5 PM) Hours per Shift: 40 Experience: Minimum 2 years License: Client RN License Certifications: Primary Source Verification Must-Have: Clinical knowledge in reviewing medical charts Description: Use clinical knowledge to review medical charts for accuracy and sequencing of diagnoses. Validate clinical and coding assessments based on consultation reports. Assess history and physical reports, operative reports, progress reports, and discharge reports, including complex cases. Review medical records and healthcare claims for accuracy and compliance with regulations, standards, policies, and procedures. Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations. Collaborate with team members to evaluate suspected cases of fraudulent activities. Create detailed reports with medical review findings, including research and recommendations. Validate whether audited claims should be denied or recouped and determine required mitigation strategies. Participate in provider calls to discuss findings and rationale of medical reviews. Present findings to leadership and stakeholders to facilitate investigations. Assist in preparing documentation for audits, compliance, and regulatory inquiries. Maintain thorough documentation of investigations and communications with providers. Stay updated on changes to coding guidelines and fraud detection methods. Complete special projects and audits as required. 27973908EXPTEMP Job Requirements Required for Onboarding BLS Pharmacology Skills Checklist Specialty Exam 5 Benefits of Travel Nursing Advocating for patients from diverse backgrounds and with different healthcare needs refines your patient advocacy skills, making you a more effective advocate in various healthcare settings. If you have a sense of adventure, travel nursing provides the opportunity to explore different cities, states, or even countries. You can immerse yourself in new environments and enjoy diverse landscapes and recreational activities. Stand out in the competitive healthcare field by showcasing a resume filled with varied experiences in different regions and healthcare settings. Employers value the adaptability and resilience gained through travel nursing. Step out of your comfort zone and face new challenges, fostering personal resilience and adaptability. Travel nursing becomes a transformative journey that shapes not only your career but also your character. Travel nurses can bring fresh perspectives to healthcare facilities, contributing ideas and insights that may lead to improvements in patient care, safety, and overall healthcare quality.

Location: New York City, New York, US

Posted Date: 7/17/2025