Travel RN - Case Management/Utilization Review - Case Management

American Traveler is seeking an experienced RN for a Care Management position requiring a MA RN license, a minimum of 3 years of experience, and a BSN. Requirements Active MA RN license required BSN required CCM or related certification preferred Minimum 3 years of experience in Care Management with extensive background in MS patterns of practice and acute inpatient care 5+ years of experience in utilization management (UM) and case management (CM) preferred Knowledge of methods for assessing physical and mental impairment, characteristics of illness, and expected treatment approaches Knowledge of benefits, plan contracts, eligibility issues, and requirements Epic EMR experience preferred Two professional references required: at least one must be from a manager-level or above (title must reflect 'Manager,' not 'Supervisor'), with performance evaluations included; one must be within the past 12 months and the other within 3 years References from other travelers are not accepted Copy of driver's license required for consideration Must pass the Relias Advanced Dysrhythmia Test (Test A or B); test may only be taken twice Responsibilities Acute inpatient hospital setting, Care Management department Manages a caseload of 18–22 patients on the Menino Campus Utilizes InterQual screening tools for determining medical necessity and appropriateness of admission Epic EMR experience preferred Schedule is 4x10-hour day shifts per week with no set day off Every 6th weekend required on an as-needed basis No major holiday coverage required 40 hours per week Responsibilities include assessing, planning, implementing, monitoring, and evaluating options and services required to meet patient health needs using a collaborative process Focuses on managing length of stay (LOS), promoting efficient resource utilization, and achieving quality, cost-effective outcomes Determines medical necessity and appropriateness of admission using InterQual screening and inpatient lists from Medicare No radius restriction applies to this specialty; local candidates are accepted Benefits High Pay and Bonuses Medical, Dental and Vision Insurance with Day 1 Options 401(k) Plan Weekly Payroll Deposit Free Online CEUs Generous Housing Allowance Travel and Licensure Reimbursements Non-taxed Per Diem and Subsidy Traveler Rewards and Discounts Job ID: P-711931 Open Positions: 2 #J-18808-Ljbffr American Traveler