Travel Nurse RN - Case Manager in Lakewood, CO

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)