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

American Traveler is hiring an experienced RN Case Manager for a Utilization Review/Care Management role requiring 3+ years of case management experience and a BSN.

• Active MA RN license required at time of consideration
• BSN required
• 3+ years of case management experience with extensive background in current multi-system patterns of practice and acute inpatient care
• Knowledge of methods for assessing physical and mental impairment and understanding illness characteristics and expected treatment
• Knowledge of benefits, plan contracts, eligibility issues, and requirements
• 5+ years of UM and CM experience preferred
• Epic EMR experience preferred
• CCM or related certification preferred

• Care Management department at the Menino Campus
• Manages a caseload of 18-22 patients
• Utilizes Inter Qual screening and Medicare inpatient lists to determine medical necessity and appropriateness of admissions
• 4x10-hour AM shift schedule with no set day off
• Every 6th weekend required as needed
• No major holiday coverage required
• Must be willing to float as needed per unit needs
• Utilize a collaborative process to assess, plan, implement, monitor, and evaluate services required to meet patient health needs
• Manage length of stay and promote efficient, cost-effective utilization of resources
• Two professional references required, including one at the manager level with a performance evaluation completed within the past 12 months
• References cannot be provided by another traveler
• Local candidates within 50 miles of the facility are accepted

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

Job : P-760827

Open Positions: 2