Travel RN - Case Management​/Utilization Review - Case Management

American Traveler is hiring an experienced Case Management RN for a hospital setting, requiring 3 years of case management experience and prior travel assignment history.

• Active GA or Compact RN license required
• BLS certification required
• Minimum 3 years of case management experience required
• Prior travel nursing experience required
• Teaching hospital and community hospital experience preferred
• Experience with Inter Qual and Milliman guidelines
• Knowledge of CMS, CPT coding, DRG, HEDIS, HIPAA, ICD-10 coding, NCQA, OSHA, and Joint Commission standards
• Experience with admission criteria, concurrent review, continued stay reviews, medical necessity determinations, and appeals/denials processes
• Any EMR/charting system experience accepted

• Acute hospital Case Management/Utilization Review unit
• Day shift schedule, Monday through Friday, 5x8 hours (8:00 AM - 4:30 PM)
• No weekend or on-call requirements
• Floating required within facility and scope of practice as needed
• Responsible for assessing, evaluating, and driving discharge plans
• Coordinates services to ensure patients reach appropriate levels of care
• Monitors length of stay and identifies barriers to discharge
• Follows Medicare regulatory guidelines including patient choice, IMM notices, and MOON forms
• Unit does not accept first-time travelers
• Max 7 days RTO per contract, to be finalized at time of submission
• No RTO permitted during orientation week
• No RTO requests permitted during September per manager request
• Holiday coverage required: if 1-2 major holidays fall within the assignment, both must be worked; if 3 major holidays fall within the assignment, 2 must be worked
• Major holidays include Memorial Day, Independence Day, Labor Day, Thanksgiving/Black Friday, Christmas Eve/Christmas Day, and New Year's Eve/Day
• Local candidates accepted at the same bill rate
• Former Piedmont perm/per diem/FCSS staff must be separated from all Piedmont facilities for one full year before applying as a traveler
• Travelers previously cancelled or deemed not returnable to a Piedmont facility must complete one successful assignment elsewhere before reapplying
• Candidates undergo a clinical screening process before being presented to the hiring manager
• Full compliance required to start on time; delays may result in a two-week push back due to biweekly orientation scheduling

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs