RN - Case Manager

RN - Case Manager

This position will be supporting complex case management across the system and patients in the community (virtually). They may need to float between offices in Emeryville and SF, but will be primarily virtual.

Shift Details: 5x8s - 08:00 AM to 16:30 PM; float to SF and Emeryville offices as needed

Requirements:

• CA License
• Inpatient CM Experience
• Shift Details: 5x8s - 08:00 AM to 16:30 PM; float to SF and Emeryville offices as needed
• Charting System Experience: Required
• Charting System Name: Epic
• Community Hospital Experience: Required
• LTAC Experience: - Trauma Level I Experience: Preferred
• Trauma Level II Experience: Preferred
• Travel Experience Required: Yes

Certifications: BLS, CA RN

Skills: Acute Hospital, Admission Criteria, Ambulatory, Behavioral Health, Benefits Eligibility, Care coordination, CMS: Centers for Medicare and Medicaid Services, Concurrent Review, Continued Stay Reviews, Discharge Planning, Disease management, DRG (Diagnosis Related Groups), Emergency Department, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICU, Medical Necessity, MS, Needs Assessment/ Order DME, PICU, Plan of Care, Prior Authorization, Prior Authorizations, Retrospective Review, SDU/PCU/IMC/Obs, Surgical Services, Telephonic, The Joint Commission/ Core Measure/National Safety Goals, Utilize InterQual Criteria

Unit Details Staffing & Scheduling:

• Scheduling Type: Other
• Patient Ratios Days: 20
• Patient Ratios Nights: -
• Patient Ratios Weekends: -
• Float Required: -
• Call Required: -
• Weekend Coverage: -
• Number of Weekend Shifts Per Contract: -
• Pre-Approved Time Off: -
• Orientation Hours: -

Facility & Patient Care Details:

• Patient Age Groups: Adults, Geriatrics
• Daily Census: -
• Number of Visits Per Day: -
• Number of Rooms: -
• Number of Beds: -
• Interdisciplinary Support: Interpretation Services, Social Services
• Patient Diagnoses: -
• Special Procedures/Unit Details: -
• Special Equipment: -

Compliance:

• Onboarding: Must complete labs within 3-5 days of contract signing
• Work History Verification: 7-Year Work History Verification Required for all candidates. Candidates must provide accurate work history information going back 7 years from their start date and may also be required to provide documentation or contacts for the verifications if we are unable to verify any positions
• Deadline: All compliance documents due 10 days prior to start
• Modules: Modules are non-billable. An average of 1-5 hours spent on modules and are factored into NBO. Any time spent on modules exceeding the 16 NBO hours are billable. Modules are completed during orientation, and module hours vary by specialty. Modules are recorded through e-learning

Guaranteed Hours: Contract Weeks: 91

Client Details:

• Address: 45 Castro St
• City: San Francisco
• State: CA
• Zip Code: 94114