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

American Traveler is seeking an experienced RN for a Care Management position requiring a MA RN license, a minimum of 3 years of experience, and a BSN.

• Active MA RN license required
• BSN required
• CCM or related certification preferred
• Minimum 3 years of experience in Care Management with extensive background in MS patterns of practice and acute inpatient care
• 5+ years of experience in utilization management (UM) and case management (CM) preferred
• Knowledge of methods for assessing physical and mental impairment, characteristics of illness, and expected treatment approaches
• Knowledge of benefits, plan contracts, eligibility issues, and requirements
• Epic EMR experience preferred
• Two professional references required: at least one must be from a manager-level or above (title must reflect 'Manager,' not 'Supervisor'), with performance evaluations included; one must be within the past 12 months and the other within 3 years
• References from other travelers are not accepted
• Copy of driver's license required for consideration
• Must pass the Relias Advanced Dysrhythmia Test (Test A or
  
  B); test may only be taken twice

• Acute inpatient hospital setting, Care Management department
• Manages a caseload of 18–22 patients on the Menino Campus
• Utilizes Inter Qual screening tools for determining medical necessity and appropriateness of admission
• Epic EMR experience preferred
• Schedule is 4x10-hour day shifts per week with no set day off
• Every 6th weekend required on an as-needed basis
• No major holiday coverage required
• 40 hours per week
• Responsibilities include assessing, planning, implementing, monitoring, and evaluating options and services required to meet patient health needs using a collaborative process
• Focuses on managing length of stay (LOS), promoting efficient resource utilization, and achieving quality, cost-effective outcomes
• Determines medical necessity and appropriateness of admission using Inter Qual screening and inpatient lists from Medicare
• No radius restriction applies to this specialty; local candidates are accepted

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts

Job : P-711931

Open Positions: 2