Travel Nurse RN
4 days ago
**Job Title:** Registered Nurse - Case Manager
**Job Specialty:** Case Management
**Job Duration:** 13 weeks
**Shift:** Day 5x8-Hour (08:00 - 16:30)
**Guaranteed Hours:** Not specified
**Experience:** Minimum 2 years of case management experience required; previous charge experience preferred
**License:** Must have a current license
**Certifications:** BLS required
**Must-Have:**
- Previous travel assignment experience
- Ability to collaborate with hospitals, physicians, etc.
- Capability to manage care plans addressing Social Determinants of Health
**Job Description:**
- Work as a Registered Nurse specializing in case management.
- Develop comprehensive care plans for vulnerable populations, including Medicaid recipients.
- Conduct comprehensive assessments and manage care within electronic medical records.
- Ensure documentation adheres to quality and contract requirements.
- Provide care for a diverse age range, from newborns to geriatric patients.
- Coordinate care and discharge planning using InterQual Criteria and Milliman Guidelines.
- Must be prepared to handle chronic diagnoses, such as high-risk pregnancy, DM, CHF, COPD, asthma, and behavioral health.
- Engage in regulatory tasks including coding, billing, and adherence to standards by CMS, DRG, ICD 10, OSHA, The Joint Commission, and others.
- Face-to-face interactions required at designated wellness centers.
- Office-based work setting with business casual dress code.
- All employees are required to have the flu vaccine, with no exemptions.
(Note: COVID-19 vaccine not required for this role.)
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