2-year acute medical RN Care Manager performing Care Coordination & Discharge Planning. Will not be doing Utilization Review
Profession: Registered Nurse
Specialty: Case Management
Location: Eureka, 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 & discharge planning in acute care within the last year.
License: CA RN
Certifications: BLS
First-timers accepted: Yes
Weekend Req: Yes, Rotating
Float:
Skills Required:
Work Settings
Acute Hospital
Case Management/Utilization Review
Admission Criteria
Appeals and Denials
Benefits Eligibility
Care coordination
Discharge Planning
Needs Assessment/ Order DME
Prior Authorizations*
Worker’s comp case management*
Regulatory
CMS: Centers for Medicare and Medicaid Services
DRG (Diagnosis Related Groups)*
HIPAA guidelines (Health Insurance Portability and Accountability Act)
The Joint Commission/ Core Measure/National Safety Goals
Workers Compensation*
Acute Hospital Experience by Specialty
Emergency Department
ICU
MS
Pediatrics
SDU/PCU/IMC/Obs
Additional Skills
* Experience with HMOs, IPAs, etc.
*Experience with advance directive, POLST, protective services process
