Description

American Traveler is hiring an experienced RN Case Manager with Epic charting experience and at least one year of case management background for a 13-week acute hospital assignment.

Details

• Acute hospital inpatient Case Management/Utilization Review department
• Day shift, four 10-hour shifts weekly from 7:30 AM to 6:00 PM
• Every-other-weekend requirement
• Patient ratio of 1:25
• Epic charting system experience required
• Floating required to sister facilities within a 75-mile radius as needed
• No block scheduling accommodations available

Requirements

• Active OK or compact RN license required
• BLS certification required
• CCM certification preferred
• Minimum 2 years of RN experience and 1 year of Case Manager experience required
• InterQual or MCG experience preferred
• Experience with appeals and denials, benefits eligibility, care coordination, discharge planning, DME needs assessment, and prior authorizations
• Knowledge of CMS and HIPAA regulatory guidelines
• Current driver's license or state-issued ID required
• Utility bill in candidate's name with matching address within the last three months required
• Two supervisory references required
• Copies of certifications required with application

Additional Information

• Support inpatient discharge planning, care coordination, care progression, post-acute transitions, and patient choice compliance
• Ensure compliance with regulatory requirements including CMS and HIPAA guidelines
• First-time travelers are welcome to apply
• Local candidates accepted, with facility intending to convert local hires upon completion of the 13-week assignment
• Candidates must reside more than 75 miles from the facility to qualify as a traveler
• Maximum of 5 days RTO allowed per 13-week assignment with no holiday RTO permitted
• Former INTEGRIS employees must have at least one year of separation from the health system to be eligible