Medical Clearance Case Manager – RN

This is a fully remote position, open to applicants in Colorado.

📋 Description

• Evaluate, plan, implement, assess, and document nursing care in accordance with organizational policies and professional nursing standards.

• Examine medical clearance cases and ensure all requests are fulfilled within the designated timeframe prior to surgery.

• Refer patients to specialists for additional laboratory tests, examinations, x-rays, and necessary clearances.

• Collaborate with providers and healthcare professionals to streamline inpatient or procedural workflows.

• Ensure that evaluations adhere to clinical guidelines and safety regulations.

• Document patient medical histories, interactions with external medical offices and clinics, as well as steps in the clearance process.

• Enter and retrieve information from electronic health systems.

• Work alongside doctors, medical staff, patients, Prosthetic Exam Performers, Prosthodontists, and Oral Surgeons to secure timely results and communicate the status of clearance.

• Identify potential issues or risks that may impact the turnaround times for medical clearance.

• Efficiently manage multiple patients and procedures within established deadlines.

• Perform duties in accordance with established policies, procedures, regulatory and accreditation requirements, and professional standards.

⛳️ Requirements

• A minimum of 1 year of experience as a medical clearance professional, pre-ops case manager, utilization manager, or case manager, ideally in a remote or hybrid setting.

• Possession of at least one active state RN license.

• Compact state licensure is required.

• Nursing diploma is necessary.

• Proficiency in Microsoft Office or Google Office applications.

• Strong technical aptitude is essential.

• Excellent oral and written communication skills are required.

• Outstanding analytical, planning, and process development capabilities.

• Completion of an accredited Certified Professional Utilization Review (CPUR) program is preferred.

• Certification as a Certified Case Manager (CCM) from the Commission for Case Manager Certification is preferred.

• A preferred minimum of one year of licensed RN experience in PreOp/PACU, such as in ICU or ED.

• A preferred bachelor's degree with a concentration in business or an MBA.

🏝️ Benefits

• Paid time off.

• Health insurance.

• Dental insurance.

• Vision insurance.

• 401(k) savings plan with matching contributions.