Travel Nurse RN

5 days ago

lakewood, United States Cynet Health Full time

Job Specialty:** Case Management

**Shift:** 8-hour day shift, 8:30 am - 4:30 pm, including on-call requirements for 2 weekend days a month

**Experience:** Minimum of 1 year in nursing or case management; working knowledge of regulatory requirements and accreditation standards preferred

**American Heart Association Basic Life Support (BLS) - Required

**Discharge Planning
- Case Management
- Process Improvement
- Review and analyze information related to admissions according to policy, documenting assessments using case management software and/or other clinical information systems.
- Assess patients' physical, psychosocial, cultural, and spiritual needs through observation, interviews, records review, and collaboration with patients, physicians, interdisciplinary teams, and caregivers.
- Facilitate discharge planning by working with patients, families, and treatment teams, making necessary referrals/arrangements, and documenting actions.
- Participate in the Performance Improvement process, including concurrent chart review and involvement in clinical effectiveness teams.
- Confirm treatment goals and anticipated plan of care through discussions with the treatment team and review of documentation.
- Utilize guidelines, criteria, or clinical pathways to aid in facilitating the plan of care and appropriateness.
- Assess, coordinate, and evaluate the use of resources and services relative to the plan of care, discussing variances as needed with the treatment team.
- Facilitate family conference meetings as necessary and document outcomes.
- Participate in and/or lead interdisciplinary rounds to facilitate the plan of care and discharge.
- Review variance in the Plan of Care with the Case Management Director/Manager as needed.
- Work closely with Social Workers, Homecare Coordinators, Ambulatory Care Case Managers, Disease Managers, and Utilization Reviewers to ensure timely delivery of services and avoid unnecessary delays in discharge.
- Maintain updated referral resource lists and identify when variances occur in the anticipated plan of care, tracking for process improvement.
- Identify and apply evidence-based criteria/regulatory guidelines for accuracy in establishing appropriate patient status and level of care.
- Collaborate with third-party payers for utilization review requests and obtain approval of stays, including participation in denial management.
- Perform utilization review according to the Utilization Management Plan, including concurrent/retro reviews and verifying admission/bed status.
- Proactively manage factors influencing length of stay using critical thinking skills to minimize variance days.
- Education:** Associate Degree in Nursing required; Bachelor Degree in Nursing preferred.

**Languages:** Proficiency in English (Speak, Read, Write)

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