RN - Case Manager
Cynet Health
Case Manager RN
Job Type: Travel
Profession: Registered Nurse
Specialty: Case Management
Duration: 13 Weeks
Shift: Day 5x8-Hour Hours per Shift: 08:00 - 16:30
Experience: 5 Years in Specialty Required
License: State License Required
Certifications: BLS, BSN Required
Must-Have: Epic Documentation Experience, InterQual Criteria Utilization, Care Coordination, Discharge Planning, UR Admission Criteria, UR Appeals and Denials, UR Concurrent Review, UR Continued Stay Reviews, UR Medical Necessity, UR Retrospective Review, CPT Coding and Billing, HIPAA Compliance, ICD 10 Coding
Description: This position is for a complex inpatient case manager and utilization review RN. Candidates must have five years of experience in the specialty area. Responsibilities include evaluating patient care and ensuring proper documentation for quality standards. Candidates will utilize both Epic and InterQual documentation tools. Effective communication skills are essential, specifically using the SBAR format. Rotating weekend work is required. The role involves collaborating with interdisciplinary teams to coordinate patient care efficiently. Knowledge of CMS guidelines and measures is essential for this position. A commitment to patient safety and quality improvement initiatives is expected. Maintaining compliance with regulatory requirements and accreditation standards is necessary.
Location: Irvine, CA
Benefits: Competitive benefits, including medical, dental & vision insurance, 401(k) with employer match, free and unlimited continuing education units (CEUs), disability insurance, 24/7 dedicated Care Line and clinical liaison support, personalized career consultant and "single point of contact" service, industry-leading pay rates, loyalty rewards & referral bonuses, free tax return assistance for travelers.
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