Bestica is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Eureka, California.
Required Qualifications
Key Responsibilities & Clinical Skills
Required Qualifications Minimum 2 years of acute-care hospital Case Management experience. Recent acute-care hospital Case Management experience within the last year is mandatory. Previous travel experience required; first-time travelers may be considered with clinical approval. Strong experience in Care Coordination and Discharge Planning. Epic experience is mandatory. Experience working with HMOs, IPAs, and similar healthcare organizations. Experience with Advance Directives, POLST, and Protective Services processes. Key Responsibilities & Clinical Skills Acute hospital Case Management and Utilization Review. Care Coordination and Discharge Planning. Admission criteria and medical necessity reviews. Appeals and Denials management. Benefits eligibility and patient needs assessments. DME coordination and prior authorizations. Coordination with interdisciplinary teams, including Social Services. Knowledge of CMS guidelines, HIPAA, DRGs, and Joint Commission standards. Experience supporting patients across ICU, Emergency Department, Medical-Surgical, Pediatrics, and Step-Down/PCU units.
We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and are certified as an 8(a) Business.
| Location | Eureka, CA |
| Industry | Government and Military |
| Company Size | 50 to 99 employees |
| Year Founded | 2005 |
| Website | http://www.bestica.com/ |
We are a trusted provider of solutions in Information Technology and Healthcare sectors to the DoD, Federal and Commercial markets. Our guiding principle and core values help us care for our people and the community; and build a culture of excellence which in turn helps us achieve our organizational objective of exceeding customer’s expectations in each and every project. Headquartered in San Antonio, TX, we were founded in 2005 and believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation and synergy are encouraged to build our workplace into a community of like-minded, passionate people.
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