Case Manager

RN - Case Manager

Unit Details: Ability to assess, evaluate and drive discharge plan. Coordinate services to the patient's appropriate level of care. Ensure that treatment plan is initiated, evaluated and re-evaluated daily. Follow the progress and lack thereof daily. Monitor length of stay and identify barriers to discharge. Follow Medicare regulatory guidelines regarding patient choice, IMM notices and MOONS.

Schedule: Monday-Friday, Weekend: None, Call: None, Floating: Within facility/scope of practice as needed

Minimum Experience: 3 years - Unit does not accept first time travelers

Clinical Screen: Candidate will be reviewed by clinical to determine clinical fit, if clinical pass and within Piedmont guidelines, candidate will be sent to the manager for final decision. Clinical screens will be sent on case-by-case basis.

RTO: Max 7 days

Holidays: If one major holiday falls in his/her assignment period, the traveler is expected to work it. If two major holidays fall in his/her assignment period, the traveler is expected to work both of the holidays. If three major holidays fall in his/her assignment period, the traveler is expected to work two of the holidays. Major Holidays are listed below: Memorial Day, Independence Day, Labor Day, Thanksgiving/Black Friday, Christmas Eve/Christmas Day, New Years Eve/New Years Day

Compliance: Full compliance required to start on time; if not compliant in time the push back is 2 weeks due to bi-weekly orientation schedule. Locals accepted - same rate

Job Requirements & Qualifications: Previous Charge Experience, Years of Experience, Patient Ratio Experience, Charting System Experience, Required Charting System Name, LTAC Experience, Trauma Level I Experience, Trauma Level II Experience, Travel Experience Required, Certifications: BLS

Skills: Acute Hospital, Admission Criteria, Appeals and Denials, Care coordination, CMS: Centers for Medicare and Medicaid Services, Concurrent Review, Continued Stay Reviews, CPT (Current Procedural Terminology) coding and billing, Department of Health, Discharge Planning, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, Long Term Acute Care/Rehab/Skilled Nursing, Medical Necessity, NCQA (National Committee for Quality Assurance), OSHA, Retrospective Review, The Joint Commission/ Core Measure/National Safety Goals, Utilize InterQual Criteria, Utilize Milliman Guidelines, Workers Compensation

Unit Details Staffing & Scheduling: Scheduling Type: block, Patient Ratios Days: -, Patient Ratios Nights: -, Patient Ratios Weekends: -, Float Required: Within facility/scope of practice as needed, 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: 20-25, Number of Visits Per Day: -, Number of Rooms: -, Number of Beds: -, Interdisciplinary Support: -, Patient Diagnoses: -, Special Procedures/Unit Details: Ability to assess, evaluate and drive discharge plan. Coordinate services to the patient's appropriate level of care. Ensure that treatment plan is initiated, evaluated and re-evaluated daily. Follow the progress and lack thereof daily. Monitor length of stay and identify barriers to discharge. Follow Medicare regulatory guidelines regarding patient choice, IMM notices and MOONS. Special Equipment: -

Piedmont Submission Rules: Local Candidates: Accepted at same bill rate, RN Licensure: GA or Compact license required at time of submission, Internal Return Rule: Perm/Per Diem/FCSS must be away from all Piedmont facilities for 1 full year before applying as a traveler, Return Travelers: If cancel or facility DNR, traveler must complete one assignment outside Piedmont before reapplying + ensure profile reflects all time worked at Piedmont Health, RTO Policy: ALL RTO MUST BE FINALIZED AT TIME OF SUBMISSION NO RTO OR SCHEDULE REQUESTS CAN BE REQUESTED POST OFFER OR ONSITE, Max RTO: 7 days per contract, Holiday RTO: Holidays (6) - Memorial Day, Independence Day, Labor Day, Thanksgiving/Black Friday, Christmas Eve/Day, New Year s Eve/Day If 1 2 holidays fall during assignment: No holiday RTO can be requested If 3 holidays fall during assignment: 1 holiday RTO may be considered, Compliance: Onboarding: Must complete core items/labs within 48 hours of contract signing, Deadline: All compliance documents due Tuesday prior to start, Modules: Modules are non-billable, hours are factored in NBO, Modules are completed during orientation, and vary by specialty, Modules are recorded via transcripts

Guaranteed Hours: Contract Weeks: 84

Client Details: Address: 1968 Peach Tree Road Northwest, City: Atlanta, State: GA, Zip Code: 30319