Travel Utilization Review/Case Management RN

Case Management Position

Pay rate: $2,200.00 - $2,400.00 gross per week

Number of positions: 1

Specialty: Case management

Start date: As soon as credentialed

Travel: All inclusive - Provide onsite lodging, a minute walk from the facility.

Assignment length: 13 weeks

EMR: RPMS

Schedule: 5x8s Tuesday - Saturday

Call: N/A

Additional details about the position:

• Monitors external referral activities set by PRC, providing quarterly reports to ensure the department is on track to meet necessary measures.
• Provides case management for patients needing referred care for a range of modalities.
• Works with the patient, family and an interdisciplinary team; develops a care and service delivery plan based on needs of patient, available provider, and financial resources.
• Conducts appropriate concurrent and retrospective reviews on referred care to patients to determine the appropriateness of procedures, and the necessity of continued care.
• Determines medical necessity and appropriateness of level of care using Centers for Medicare & Medicaid Services (CMS) approved criteria for inpatient and outpatient referred care encounters.
• Checks the severity of illness, intensity of service and criteria on referred patients.

Experience requirements:

• 1 year case management or utilization review

Certification requirements:

• ACLS
• BLS
• PALS

Licensure requirement:

• Any state license

About the facility:

IHS outpatient health center in northern AZ

DC

Benefits: (NurseStar covers 50% of your monthly benefit cost)

• Dental insurance
• Health insurance
• Paid sick time
• Paid time off
• Travel reimbursement
• Vision insurance