Travel RN - Case Management/Utilization Review - Case Management

American Traveler is hiring a travel RN for a Care Management position in Boston, MA, requiring a BSN, 3+ years of case management experience, and an active MA RN license. Requirements Active MA RN license required BSN required Active BLS certification required Minimum 3 years of case management experience with extensive knowledge of medical/surgical patterns of practice and acute inpatient care Strong understanding of methods for assessing physical and mental impairment, illness characteristics, and expected treatment outcomes Knowledge of insurance benefits, plan contracts, eligibility issues, and requirements CCM or related certification preferred 5+ years of utilization management (UM) and case management (CM) experience preferred Valid, unexpired driver's license required for consideration Must pass the Relias Advanced Dysrhythmia Test (A or B) prior to placement Responsibilities Acute inpatient care management setting on the Menino Campus Caseload of 18–22 patients per care manager 40-hour work week structured as four 10-hour day shifts with no set day off Weekend coverage required every 6th weekend as needed No major holiday coverage required Epic EMR experience preferred Responsibilities include assessing, planning, implementing, monitoring, and evaluating services required to meet each patient's health needs using a collaborative process Manages length of stay (LOS) and promotes efficient utilization of hospital resources Determines medical necessity and appropriateness of admission using InterQual screening and inpatient lists from Medicare Two professional references required: at least one must be from a manager-level or above (not a supervisor), and must include a performance evaluation; one reference must be within the last 12 months and the other within the last 3 years References from other travelers are not accepted Candidates residing within 50 miles of the facility are eligible but will be placed at a local pay rate Benefits High Pay and Bonuses Medical, Dental and Vision Insurance with Day 1 Options 401(k) Plan Weekly Payroll Deposit Free Online CEUs Job ID: P-727331 Open Positions: 1 #J-18808-Ljbffr American Traveler