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Registered Nurse (RN) - Case Management

TLC

Case Manager

Schedule: 5x8-hour days

Requirements:

  • 2 years of experience preferred
  • BLS certification required
  • Experience with medical necessity review, discharge planning, and utilization review
  • Familiarity with the Epic charting system

Roles & Responsibilities:

  • Review medical necessity and conduct utilization reviews
  • Plan for patient discharges and document screenings and discharge plans
  • Communicate changes in the plan of care to relevant stakeholders
  • Coordinate community referrals and anticipate patient needs
  • Conduct concurrent and continued stay reviews, including understanding DRG and benefits eligibility

Compliance / Notes:

  • State or Compact license must be in hand at the time of submittal
  • All requests for time off must be listed at the time of submittal
  • Previous staff must wait 1 year before returning as a traveler
  • Core items and lab requirements must be completed within 48 hours of contract signing
  • Orientation modules are to be completed onsite and are non-billable

Client Details:

City: Pocatello

Vacancy posted 5 days ago
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