Travel RN Case Management - per week
Description:
Job Details
Two years case/resource management and utilization management is required.
Perform clinical reviews by using either InterQual or MCG criteria.
Provide/send clinical reviews to commercial payers for approval of inpatient acute care stay.
Management of concurrent denials by providing additional clinical information to support the need for inpatient care.
Monitor and facilitate the appropriate utilization of internal resources, such as diagnostic testing.
Coordinate safe discharge planning with members of the interdisciplinary care team and identify barriers to discharge.
Complete both PRI and Screen for placement of patients in skilled nursing facilities (SNFs).
Obtain authorizations from commercial payers that is required for placement of patients in SNFs. Job Requirements
Two years case/resource management and utilization management is required.
PRI, SCREEN certification preferred. Additional Details
EPIC electronic medical record experience preferred.
Contract