Registered Nurse Case Manager

Job Description

Job Description

Job Description
Start date: ASAP
Floating Expectation: No
First Time Traveler: Yes but 1st time travelers must be screened
Ratios: Days 1:25
Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination/Discharge Planning
Weekend REQ: typically one full weekend per 4 weeks, subject to dept. need
CA state license: Yes
Pending License accepted: Yes, but must be licensed upon start date
RTO Restrictions: No more than 7 days

Hospital Highlights
Type of Facility: Acute Care Facility
Scrub Color: Business Attire or Scrubs
Job Requirements & Qualifications

• Previous Charge Experience:
  -
• Years of Experience:
  2 year(s)
  Note: 2-year acute medical Care Manager experience performing Care Coordination/Discharge Planning
• Patient Ratio Experience:
  -
• Charting System:
  Required, Epic
• Teaching Hospital Experience:
  -
• Community Hospital Experience:
  -
• LTAC Experience:
  -
• Trauma Level I Experience:
  -
• Trauma Level II Experience:
  -
• Travel Experience Required:
  Yes
  Note: travel experience required, can screen 1st time traveler
• Certfications:Certs marked with * are preferred
  -
• Skills:Skills marked with * are preferred

  Work Settings

  Acute Hospital

  Case Management/Utilization Review

  Admission Criteria
  Care coordination
  Determine Medical Necessity per Evidence-Based Guidelines
  Discharge Planning
  Disease management
  Needs Assessment/ Order DME
  Plan of Care

  Regulatory

  CMS: Centers for Medicare and Medicaid Services
  CPT (Current Procedural Terminology) coding and billing
  Department of Health
  DRG (Diagnosis Related Groups)
  HIPAA guidelines (Health Insurance Portability and Accountability Act)

  Acute Hospital Experience by Specialty

  ICU
  MS
  SDU/PCU/IMC/Obs

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