Description

American Traveler is seeking an experienced RN for a Case Management position in Key West, FL, requiring acute care case management experience and an active FL or compact RN license.

Details

• Hospital-based acute care setting in Key West, FL
• Case Management unit
• Day shift schedule, 4x10-hour shifts per week (Saturday through Tuesday), core hours 8:00 AM – 4:00 PM
• 13-week contract
• Involves medical necessity reviews for Medicare, non-commercial payers, and Observation patients regardless of payer source
• Requires completion of 3008 forms, PASRR screenings, and referrals to SNF, HHC, and ARF
• Applies knowledge of Medicare Conditions of Participation, including the 2-midnight rule and 3-day stay requirement for SNF discharges

Requirements

• Active FL state RN license or compact multistate RN license required (active, not pending)
• Current BLS certification required (must not expire within the first 30 days of the assignment start)
• Minimum 1 year of recent case management experience in an acute care hospital setting
• Ability to independently perform medical necessity reviews and discharge planning for patients of all ages
• No gaps in work history of 90 days or more within the past 12 months
• Must not have worked at any CHS facility as permanent staff within the past 2 years
• Candidates must reside more than 50 miles from the facility to be eligible for this position
• Housing secured for the full duration of the assignment required at time of acceptance

Additional Information

• Collaborates with the interdisciplinary healthcare team to manage facility resources, reduce physician practice variations, and improve patient outcomes with a focus on decreasing length of stay
• Responsibilities include determining medical necessity for admissions and continued stays, identifying inappropriate or untimely services, coordinating discharge planning, and facilitating timely and appropriate discharges
• Identifies opportunities for improvement in patient care and maintains required regulatory documentation
• RTO requests must be for less than one week in duration