RN - Case Manager

Profession: Registered Nurse

Specialty: Case Management

Duration: 13 Weeks

Shift: Day

Hours per Shift: 8 Hours (08:00 - 16:30)

Experience: 2 Years Minimum Experience Required

License: Valid Compact License Required

Certifications: BLS Certification Required

Must-Have: Acute Care/Med-Surg Experience Required

Description:

All previous permanent employees must be separated from any affiliated facility for a minimum of 3 months to qualify for a travel position.

Facilities honor active compact licenses.

Schedule is primarily Monday to Friday, but candidates must be willing to cover some weekends.

Expectation is to work one of three holidays (Thanksgiving, Christmas, New Years).Candidates must have a minimum of 2 years of experience.

Must have charge experience and experience with patient ratios.

Required charting system experience includes Epic.

Candidate must possess knowledge of admission criteria, appeals and denials, care coordination, CMS guidelines, and discharge planning.

Familiarity with medical necessity determination per evidence-based guidelines is necessary.

Experience with CPT coding, ICD-10 coding, and DRG knowledge is required.

Candidates should be knowledgeable about HEDIS measures, HIPAA guidelines, and OSHA regulations.

Experience in utilizing Inter Qual criteria and Milliman guidelines is required.

Health care experience with adult and geriatric patient populations is essential.

Daily census expectations include managing 18-20 patients.

Care manager responsibilities include care coordination and discharge planning.

Candidates may be expected to float between nearby sister facilities as needed.

Refusal to float may result in contract termination or loss of guaranteed hours.

Providers will be responsible for their own communication devices for work purposes.

Candidates should not reach out to facility contacts directly unless it is for an agreed-upon interview.