Travel Nurse RN - Case Management 2,619 per week

Certification Details Current CA RN License
Completion of BLS and ACLS certification
Job Details RN Case Manager with acute hospital discharge planning experience; inpatient acute rehabilitation preferred.
This position coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation.
This position oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions.
Provides discharge planning coordination and Intervention for the high risk patient presenting to the Emergency Department.
This position strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs.
JOB ACCOUNTABILITIES:
• Patient Initial and Concurrent Screening.
• Reviews initial physician admission care plan.
• Gathers additional medical, psychosocial and financial information from patient/family interview, medical record assessment, physicians and other health care providers.
• Determines moderate or high-risk level for readmission.
• Conducts screening for ancillary supportive services.
• Functionally supervises and leads the health care team in developing comprehensive, cost-effective care coordination plans.
• Performs cost benefit analysis of care options.
• Formulates a transition plan after reviewing available/appropriate care options with input from the patient/family, physicians, health care team, and community.
• Identifies and refers quality and risk management concerns for corrective action plans and trending.
• Directs and oversees Assistants to interview patient/family and determine preferences for post-acute care services.
• Utilization Management: Completes initial InterQual review screening upon admission and performs continued stay and discharge planning reviews.
• Monitors Length of Stay and outliers requiring additional resources and/or focus and reports to management.
• Collaborates with interdisciplinary team to assure timely discharge.
• Maintains an average Utilization Review accuracy rate at or above the goal.
• Follows policies and procedures for Physician Advisor referrals.
• Facilitates discharge of patients from the Emergency Department to alternate care settings.
• Initiates timely communication with admitting physicians when medical necessity deficiencies are identified.
• Care Coordination/Care Transitions: Performs initial screening on all hospitalized patients to identify case management needs.
• Proactively identifies barriers to discharge and works with multi-disciplinary team to expedite care, monitor length of stay and facilitate discharge.
Job Requirements CA RN License
BLS
ACLS