Travel Utilization Review/Case Management RN

Job Description

Job Description

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