Temp - RN - Case Manager (Days) Keene NH

LOCAL TRAVELERS (those who reside within 50 miles of facility) WILL NOT BE CONSIDERED FOR THIS NEED. To avoid delays in processing, please provide perm address at profile upload.

As of 1 / 1 / 24 - all new and returning agency staff must have de-escalation training as part of their onboarding and clearance.

Facility As of 1 / 1 / 2024 - ALL new AND returning agency staff must have completed training from one of following groups for onboarding and clearance.

Welle - (Verbal De-escalation bundle training required) OR CPI - OR PMCS -

The Case Manager is responsible for managing the healthcare needs, facilitation and achievement of quality and cost outcomes of all patients.

The case manager, utilizing a multidisciplinary team approach, negotiates, procures, coordinates and monitors services and resources needed by patients.

The case manager is responsible for reviewing the patient at admission, and in some instances prior to admission, and concurrently throughout the hospital stay for the appropriate level of care and utilization of resources.

The case manager will perform transition care planning activities to secure appropriate post hospital care arrangements and will monitor the patient during the course of their hospitalization.

The case manager participates with the performance improvement initiatives.

Requested time off during the course of this assignment MUST be noted and verified at upload. RTO REQUESTS AFTER UPLOAD WILL NOT BE APPROVED.

NO MORE THAN 5 DAYS OF RTO WILL BE ACCEPTED (less is better).

Non-Billable Orientation : 0

Multipliers (OT, Holiday, Call-Back) : 1.25%

Call : Not applicable for this need

Charge / Preceptor : Not applicable for this need

Requirement description :

• 3+ years current Case Management experience required
• Ability to perform a comprehensive admission and discharge risk assessment related to quality, financial, payer benefit allowances and limitations, risk management and patient satisfaction.
• Knowledge of regulatory and accreditation organizations such as Joint Commission, DPH and HealthGrades preferred
• Experience specializing in utilization management (levels of care knowledge and demonstrable competence with evidence-based criteria tools), discharge planning to entities throughout a continuum of care, previous care management or third-party insurance review required
• Current knowledge of CMS (levels of care determinations), appeal rights & DPH regulations required
• Current knowledge of Ma Pro QIO (appeals) required

Covid vaccination strongly encouraged. Exemption forms provided upon request and will be reviewed accordingly.

Profile Requirements :

• Cover page (if available / not required)
• Work History
• License / Certifications - Must be uploaded with profile (Current Nursys, BLS, ACLS and PERM ADDRESS)

CERTIFICATION REQUIREMENTS :

BLS (AHA)

STATE LICENSE REQUIREMENTS :

New Hampshire

Weekend Requirements : TBD / Holidays required if needed

On Call Requirements : TBD