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Registered Nurse (RN) - Case Management

TLC

Clinical Role – Discharge Planning

Schedule: Monday–Friday

Requirements:

  • RN licensure: GA or Compact license required at time of submission
  • Minimum 3 years relevant experience
  • BLS certification required

Roles & Responsibilities:

  • Drive discharge planning and care coordination for patients.
  • Conduct utilization review through concurrent and continued stay reviews.
  • Monitor patient length of stay and identify barriers to discharge.
  • Ensure compliance with Medicare regulatory guidelines related to patient choice and documentation requirements.
  • Utilize InterQual and Milliman guidelines for decision-making in patient care management.
  • Maintain awareness of regulatory compliance including CMS, HIPAA, and The Joint Commission standards.

Compliance / Notes:

  • Complete core items/labs within 48 hours of contract signing.
  • All compliance documents due the Tuesday prior to start.
  • If compliant in time, start may be pushed 2 weeks due to bi-weekly orientation schedule.
  • Holiday expectations: must be available to work major holidays as outlined in original posting.

Client Details: City Atlanta State GA

Vacancy posted 3 days ago
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