Travel Nurse - Registered Nurse - Cath Lab - $3067.64 / Week

Case Manager II Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is a 177‑bed hospital. With 159 long‑term acute care hospital (LTACH) beds, we offer the same in‑depth care you would receive in a traditional hospital, but for an extended recovery period. Our 18‑bed ARU is designed for people who have experienced the debilitating effects of an acute injury, impairment or illness and, like the LTACH, we partner with your physician and offer 24‑hour clinical care seven days a week so you can start your journey to wellness. Job Summary Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of case management, utilization review, and discharge planning functions. Essential Functions Care Coordination Coordinates clinical and/or psycho‑social activities with the Interdisciplinary Team and Physicians. Monitors all areas of patients’ stay for effective care coordination and efficient facilitation. Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Appropriately refers high‑risk patients who would benefit from additional support. Serves as a patient advocate, enhancing a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions. Demonstrates knowledge of growth and development principles over the life span and the skills necessary to provide age‑appropriate care to the patient population served. Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identify post‑hospital needs. Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals. Coordinates with the interdisciplinary care team, physicians, patients, families, post‑acute providers, payors, and others in planning the patients’ care throughout the care continuum. Discharge Planning Conducts comprehensive, ongoing assessment of patients to provide timely and safe discharge planning. Provides comprehensive discharge planning for each patient, utilizing critical thinking to develop and execute effective plans. Coordinates and communicates with patients/families efficiently and effectively. Utilization Management Conducts medical necessity review for appropriate utilization of services from admission through discharge. Promotes effective and efficient utilization of clinical resources. Conducts timely and accurate clinical reviews, care collaboration, and coordination of continued stay authorization with payors. Other Conducts responsibilities in accordance with the Company’s Code of Business Conduct, policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and professional standards. Serves on Hospital and Division committees when requested. Knowledge, Skills, Abilities, Expectations Knowledge of government and non‑government payor practices, regulations, standards, and reimbursement. Knowledge of Medicare benefits and insurance processes and contracts. Knowledge of accreditation standards and compliance requirements. Ability to demonstrate critical thinking, appropriate prioritization, and time‑management skills. Basic computer skills with working knowledge of Microsoft Office, word‑processing, and spreadsheet software. Excellent interpersonal, verbal, and written skills to communicate effectively and obtain cooperation/collaboration from hospital leadership, physicians, payors, and other external customers. Demonstrates good interpersonal skills when working or interacting with patients, families, and staff members. Approximate percent of time required to travel: 0 %. Must read, write, and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned. Pay range: $51.19 - $64.92/hr Qualifications Education Graduate of an accredited program required for RN. BSN preferred or MSW/BSW with licensure as required by state regulations. Licenses / Certifications Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations. Certification in Case Management a plus. Experience Two years of experience in a healthcare setting preferred. Prefer prior experience in case management, utilization review, or discharge planning. #J-18808-Ljbffr Atlas MedStaff