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Travel Nurse RN - Case Manager - $3,081 per week in Santa Rosa, CA

Cynet Health

Santa Rosa, CA

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JOB DETAILS
SALARY
$3,081–$3,081
SKILLS
Acute Care, Basic Life Support (BLS), Case Management, Certified Case Manager (CCM), Current Procedural Terminology (CPT), Diagnosis-Related Group (DRG), Discharge Plans, Emergency Care, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Maintain Compliance, Patient Admissions, Patient Care, Patient Care Denials, Patient Confidentiality, Registered Nurse (RN), Regulatory Compliance, Requirements Validation/Verification, Resource Management, Risk, Utilization Management, Willing to Travel
LOCATION
Santa Rosa, CA
POSTED
2 days ago
Registered Nurse Profession: Registered Nurse Specialty: Case Manager Duration: 13 weeks Shift: Day Hours per Shift: 8 hours Experience: Minimum of 2 years experience required License: Current state license required Certifications: BLS required Must-Have: - Charge experience required - Patient ratio experience of 20 or more - Charting system experience preferred - Travel experience required Description: Coordinates utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation. Oversees the management of acute patient populations across the care continuum. Focuses on providing coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and intervention for high-risk patients presenting to the emergency department. Strives to promote patient wellness and improved care outcomes. Ensures efficient utilization of health services and minimized denials of payment for patients with complex health needs. Utilizes InterQual criteria and Milliman guidelines in care coordination. Conducts concurrent review, continued stay reviews, and retrospective reviews for medical necessity. Knowledge of CPT coding and billing, DRG, HEDIS Measures, and compliance with regulatory standards is required. Maintains adherence to HIPAA guidelines and ensures patient confidentiality. Collaborates with interdisciplinary teams to support patient care. Daily census of 100-120 patients, managing multiple visits throughout the day. Rotational weekend coverage required. Ability to float between inpatient and emergency department coverage as necessary. Complies with all work history verification requirements. Demonstrates proficiency in specific charting systems, preferably Epic. Possesses a strong understanding of patient admission criteria and appeals/denials processes.

About the Company

C

Cynet Health

Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
WEBSITE
https://cynethealth.com/

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