Description

American Traveler is hiring an experienced RN Case Manager for an acute hospital setting, requiring 5+ years of RN case management experience including inpatient acute case management and discharge planning.

Details

• Acute hospital Case Management department
• Day shift, 5x8-hour shifts, 8:00 AM to 4:30 PM
• Every other weekend required
• Patient ratio of 1:10

Requirements

• Active CA RN license required
• BLS certification required
• 5+ years of RN Case Management experience required
• Inpatient Acute Case Management (hospital) experience required
• Discharge planning experience required, with specific setting to be specified

Additional Information

• Responsible for care coordination and care transitions planning throughout the acute care patient experience
• Collaborates with physicians, utilization managers, medical social workers, and bedside RNs to ensure timely progression and transition of patients to appropriate levels of care
• Reviews initial physician admission care plans and gathers medical, psychosocial, and financial information to determine readmission risk level
• Supervises and leads the healthcare team in developing cost-effective care coordination plans
• Reviews medical records to ensure patients meet level of care requirements and that documentation supports LOC determination
• Monitors length of stay and collaborates with financial counselors regarding inpatient stay denials
• Formulates transition plans in collaboration with patients, families, physicians, and community-based support services
• Screens 30-day readmissions and creates effective transition plans with the interdisciplinary team
• Identifies high utilizers and patients with complex psychosocial issues, making appropriate referrals to community resources
• Maintains current knowledge of CMS, Joint Commission Transitions of Care requirements, and other regulatory requirements
• Accepts local candidates at local rate; must reside within a 50-mile radius
• Former employees must have a separation period of at least one year before returning as a traveler
• Maximum RTO of 7 days per contract, with only one holiday request permitted per contract
• Holiday coverage required for New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day
• First-time travelers are not being considered for this position