2-year acute medical RN Care Manager performing Care Coordination. Will not be doing Utilization Review
Profession: Registered Nurse
Specialty: Case Management
Location: Mission Viejo, CA
Facility: Acute Care Hospital
Job Type: Contract/Travel
Hourly Rate: $65
Shift: Day 5x8-Hour (08:00 - 16:30)
Duration: 13 weeks
Experience: 2 years of care coordination in acute care
License: CA RN
Certifications:
First-timers accepted: No, requires travel experience
Weekend Req: Yes, Rotating
Float: Yes to the Laguna facility
Skills Required:
Work Settings
Acute Hospital
Case Management/Utilization Review
Appeals and Denials
Care coordination
Disability case management
Discharge Planning
Disease management
Needs Assessment/ Order DME
Plan of Care
Worker’s comp case management
Regulatory
CMS: Centers for Medicare and Medicaid Services
Department of Health
DRG (Diagnosis Related Groups)
HIPAA guidelines (Health Insurance Portability and Accountability Act)
OSHA
The Joint Commission/ Core Measure/National Safety Goals
Workers Compensation
Acute Hospital Experience by Specialty
Emergency Department*
ICU*
MS
Surgical Services*
Special Procedures/Unit Details: Experience with Assessing patients, Care Coordination, and Discharge Planning.
• Ability to organize and participate in family meetings.
• Participate in the development of the treatment plan.
• Experience with HMOs, IPAs, etc.
• Knowledge of adoption/foster care, drug/alcohol abuse treatment options, patients experiencing homelessness, patients with mental health history or in crisis, advance directive, POLST, protective services process, etc.
• Competent with arranging DME, SNF and ambulance transport. Must be able to perform this task independently.
Charting Experience Required: Epic preferred
Daily Census: up to 25
