Travel Nurse RN - Case Manager in Oakland, CA

Job Title : Registered Nurse Job Specialty : Case Manager Job Duration : 13 weeks Shift : Day 5x8-Hour (08 : 00 - 16 : 30) Guaranteed Hours : Not specified Experience : Acute hospital discharge planning experience preferred;

inpatient acute rehabilitation experience preferred License : CA RN License Certifications : BLS, ACLS Must-Have : 2 years of experience, Epic experience preferred Job Description : Coordinate utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation.

• Oversee management of acute patient populations across the care continuum, focusing on providing coordinated and integrated care.
• Provide discharge planning coordination and intervention for high-risk patients presenting to the Emergency Department.
• Promote patient wellness, improved care outcomes, efficient health services utilization, and minimized denials of payment.
• Conduct patient initial and concurrent screening and review physician admission care plans.- Gather additional medical, psychosocial, and financial information through patient / family interviews and medical record assessments.
• Determine moderate or high-risk levels for readmission and conduct screenings for ancillary supportive services.- Supervise and lead health care teams in developing comprehensive, cost-effective care coordination plans.
• Perform cost-benefit analysis of care options and formulate transition plans based on available care options.- Complete initial InterQual review screenings upon admission, document status, and ensure patient meets level of care requirements.
• Collaborate with financial counselors on inpatient stay denials and assure delivery of Medicare Important Message within required time.
• Participate in patient rounds and collaborate with the interdisciplinary team for timely discharge.- Utilize InterQual criteria for admissions to determine appropriateness of the admission, setting, and level of care.
• Facilitate and expedite discharge of patients from the Emergency Department to alternate care settings.- Document consistently in the Electronic Health Record and maintain knowledge of medical facility and discharge requirements.
• Initiate timely communication with admitting physicians for medical necessity deficiencies and identify avoidable admissions.
• Perform initial screenings on all hospitalized patients, document assessments, and communicate findings to the health care team.
• Identify barriers to discharge, work with a multi-disciplinary team to expedite care, monitor length of stay, and facilitate discharge.
• Address complex clinical and social situations to avoid unnecessary delays in discharge and transition plan completion.
13 days ago