Case Manager RN - Travel - - Excellent Benefits 2024-11-15 at TravelNurseSource
Lakewood, CO 80228
About the Job
TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Lakewood, Colorado, 80228!
About The Position
**Job Title:** Registered Nurse (RN) - Case Manager **Job Specialty:** Case Management **Job Duration:** 13 weeks **Shift:** 8-hour day shift, 8:30 am - 4:30 pm, including on-call requirements for 2 weekend days a month **Guaranteed Hours:** 40 hours per week **Experience:** Minimum of 1 year in nursing or case management; working knowledge of regulatory requirements and accreditation standards preferred **License:** State RN license or RN license from a participating state in the NLC - Required **Certifications:** - American Heart Association Basic Life Support (BLS) - Required **Must-Have:** - Discharge Planning - Case Management - Clinical Information System - Documentation - Utilization Review - Process Improvement - EMR proficiency **Job Description:** - 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. - Communicate treatment goals or best practices to the treatment team, including physicians, using established criteria/guidelines. - 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. - Monitor appropriate patient status, interacting with the physician to ensure correct orders early during admission. **Education:** Associate Degree in Nursing required; Bachelor Degree in Nursing preferred. **Languages:** Proficiency in English (Speak, Read, Write)
26223093EXPPLAT
Job Requirements
Required for Onboarding
About Cynet Health
About The Position
**Job Title:** Registered Nurse (RN) - Case Manager **Job Specialty:** Case Management **Job Duration:** 13 weeks **Shift:** 8-hour day shift, 8:30 am - 4:30 pm, including on-call requirements for 2 weekend days a month **Guaranteed Hours:** 40 hours per week **Experience:** Minimum of 1 year in nursing or case management; working knowledge of regulatory requirements and accreditation standards preferred **License:** State RN license or RN license from a participating state in the NLC - Required **Certifications:** - American Heart Association Basic Life Support (BLS) - Required **Must-Have:** - Discharge Planning - Case Management - Clinical Information System - Documentation - Utilization Review - Process Improvement - EMR proficiency **Job Description:** - 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. - Communicate treatment goals or best practices to the treatment team, including physicians, using established criteria/guidelines. - 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. - Monitor appropriate patient status, interacting with the physician to ensure correct orders early during admission. **Education:** Associate Degree in Nursing required; Bachelor Degree in Nursing preferred. **Languages:** Proficiency in English (Speak, Read, Write)
26223093EXPPLAT
Job Requirements
Required for Onboarding
- ACLS - AHA
- BLS - AHA
- Pharmacology
- Skills Checklist
- Specialty Exam
- TNCC
About Cynet Health
Your travel nursing adventure begins here. Matching talented nurses like you with high-paying travel jobs at the best facilities across all 50 states. We offer the most competitive pay for every position we fill. We understand this is a partnership. You will have no surprises. Your salary will be discussed upfront and there will be no troubling negotiation tactics.