The RN Case Manager is expected to function within the full scope of the nursing practice with specialized focus on care coordination, compliance, transition management, education, and utilization management.Education:
YesWill accept 1 RTO request prior to booking Modified 12:00:00 AM Account Manager: Kyle Shook Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 5 Patient Ratio Experience : 15 Charting System Experience : Required Charting System Name : Any Community Hospital Experience : Preferred LTAC Experience : Preferred Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, RN LICENSE IN CASkills : Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing*, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria*, Utilize Milliman Guidelines, Admission Criteria, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation, Behavioral Health*, Emergency Department, ICU, MS, Surgical Services, Appeals and Denials, Benefits Eligibility, Concurrent Review, Continued Stay Reviews, Determine Medical Necessity per Evidence-Based Guidelines, Disease management, Needs Assessment/ Order DME, Plan of Care, Pre-Cert Review, Retrospective Review, Worker s comp case management Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 8 Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 35 Number of Visits Per Day : 35 Number of Rooms : 35 Number of Beds : 35 Additional Unit Information Interdisciplinary Support : Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy Patient Diagnoses : 2 INPATIENT UNITS #1:ICU CAPACITY 10 PTS. LONG LENGTH OF STAYS WITH SOCIAL NEEDS AND RESOURCES Special Procedures/Unit Details : STEMI-PCIBALLOON PUMPSORTHO SURGERY GENERAL SURGERYINTERVENTIONAL RADIOLOGY AND CARDIOLOGYOUT PATIENT ELECTIVE PROCEDURES Special Equipment : FEEDING PUMPSLIFT EQUIPMENTSWOUND VACSHOME DRESSING/WOUND CARE SUPPLIESHOME OXYGENHOME VENTSDMES #Tier2 Travel Compliance Submittal Details: #Tier2 Travel Compliance Guaranteed Hours: Contract Weeks:91