Learnbeyond Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portales, New Mexico.
Job Description:
This position is responsible for:Routine case management, discharge planning, swing bed coordinator and utilization review duties.Evaluating and screening potential admissions to the facilities swing bed programknowledgeable of criteria for Medicare, Medicaid, HMO, swing bed and private insurance coverageInitiate ongoing communication with the resident and resident's family to assess discharge needs.Actively involvement in daily rounds with bedside staff, physicians and ancillary team membersCommunicate with physicians to ascertain their plans for a timely discharge.document updates and discharge planning as an ongoing review.Manage and collaborate with the healthcare team on swing bed placement and complete MDS documentation as necessary.assist with obtaining referrals, prior authorization for Home Health Care, CME, SNF, acute rehab and appointments.Educates physicians and staff regarding appropriate level of care/utilization and required documentation that meets admission statusRun Interqual for each IP and OBS patient admitted to the floor
Position Urgency:
Normal
Shifts:
0800-1630
State License Details:
Must Be Currently Active
Minimum Years of Experience:
5
Sub Specialty:
Acute Care RN Case Manager Discharge Planning, Acute Care RN Case Manager Util Rev/Appeals & Denials, Acute Care RN Case Manager Util Rev/Discharge Planning , Acute Care RN Case Manager Utilization Review
General Certifications:, N/A
Nursing Certifications:
Contract Length in Weeks:
13
Learnbeyond Healthcare Job ID #297461. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Learnbeyond Healthcare LLC is a U.S.-based healthcare workforce solutions and staffing organization dedicated to providing highly qualified healthcare professionals to hospitals, long-term care facilities, rehabilitation centers, outpatient clinics, home health agencies, and other healthcare providers across the United States. The company specializes in the recruitment and placement of Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), and allied healthcare professionals for travel, contract, per diem, and permanent positions.
Leveraging a strong recruitment framework and rigorous compliance processes, Learnbeyond Healthcare LLC focuses on delivering timely, cost-effective, and customized staffing solutions that help healthcare organizations address workforce shortages while maintaining high standards of patient care. The company is committed to building long-term partnerships with both healthcare providers and professionals by emphasizing quality, integrity, compliance, and exceptional service throughout the recruitment lifecycle.
| Location | Portales, NM |