Experience
- Minimum 2 years experience in Acute Care Management required
- Previous travel experience required
- Experience with assessing patients, care coordination, and discharge planning required
License & Certification Required
- Registered Nurse (RN) license
Skills Required
- Acute Hospital experience
- Admission criteria knowledge
- Care coordination expertise
- CMS: Centers for Medicare and Medicaid Services knowledge
- CPT (Current Procedural Terminology) coding and billing knowledge
- Department of Health compliance understanding
- Ability to determine medical necessity per evidence-based guidelines
- Discharge planning skills
- Disease management knowledge
- DRG (Diagnosis Related Groups) understanding
- HIPAA guidelines knowledge
- Experience with computerized documentation, specifically Epic
- Knowledge of ICU and MS
- Needs assessment and order DME skills
- Development of plan of care
- Experience in SDU/PCU/IMC/Observation settings
Desired Skills
- Experience with HMOs and IPAs
