Benefits:- 401(k)
- Competitive salary
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Job Overview:AIMS Locum Tenens is seeking an experienced
Registered Nurse – Referral Management Center/Transition Nurse to coordinate patient transitions and discharge planning between
Mike O’Callaghan Military Medical Center (MOMMC), Nellis AFB, NV &
North Las Vegas Veterans Affairs Medical Center (NLVVAMC), North Las Vegas, NV. The RN works closely with physicians, nurses, case managers, social workers, insurance organizations, patients, and families to ensure safe, timely, and cost-effective transitions of care.
Key Duties:- Coordinate discharge requirements, including DME, Home Health Care, community services, specialty referrals, medications, and follow-up appointments.
- Ensure patients and caregivers receive appropriate discharge instructions and post-discharge resources.
- Coordinate inpatient transfers and continuity of care between facilities.
- Work with TRICARE MCSC and third-party payers to obtain authorization for post-discharge needs.
- Verify insurance benefits and assist providers with appropriate referrals and services.
- Educate patients/families about skilled nursing facilities, group homes, community resources, and other appropriate care options.
- Educate providers and staff regarding discharge planning and interfacility transfers.
- Apply knowledge of safe discharge, medical necessity, utilization review, InterQual/Milliman, EMTALA and COBRA requirements.
- Analyze treatment plans for appropriateness and support cost-effective patient care.
- Participate in committees, process-improvement activities, staff education, and orientation.
- If not fully utilized at NLVVAMC, provide nursing support in the MOMMC Emergency Department or backup support for House Supervisors/Discharge Planners.
Qualifications Degree/Education: Bachelor of Science in Nursing (BSN) from a nursing program accredited by a nationally recognized accrediting agency.
Experience: Minimum
5 years total nursing experience, with the
most recent 3 years in direct patient care in a hospital as a Discharge Planner, Case Manager, Nurse Navigator, House Supervisor, or equivalent.
Licensure: Current, full, active, and unrestricted RN license in an authorized U.S. jurisdiction.
Knowledge: Strong understanding of discharge planning, utilization management, medical necessity, TRICARE, Medicare, Medicaid, VA/private insurance, third-party collections, InterQual/Milliman criteria, EMTALA/COBRA, and healthcare reimbursement processes.
Schedule:This is a
hybrid role between NLVVAMC and MOMMC. The workweek runs Sunday through Saturday with coverage scheduled according to mission requirements
24 hours a day. Shifts may be
4, 8, 10, or 12 hours, not exceeding
80 hours per two-week period. No on-call.
Work Environment:This is a fast-paced hospital-based
care transition and referral management position working between a military medical center and VA medical center. The RN spends significant time coordinating discharges, referrals, transfers, insurance authorizations, and follow-up care while communicating with patients, families, physicians, nurses, case managers, social workers, and insurance organizations.
Health & Other Requirements:Must meet all
DHA/MTF occupational health, immunization, credentialing, and security/access requirements and maintain required RN licensure and certifications. Must comply with
infection control, patient safety, privacy, and facility policies at both MOMMC and NLVVAMC.