Travel Nurse RN - Case Manager, Acute Care Case Management - $2,310 per week
Company: Tact Staff
Location: Castro Valley
Posted on: October 26, 2024
Job Description:
Tact Staff is seeking a travel nurse RN Case Manager, Acute Care
Case Management for a travel nursing job in Castro Valley,
California.Job Description & Requirements
- Specialty: Acute Care Case Management
- Discipline: RN
- Start Date: 11/04/2024
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours
- Employment Type: TravelRN Case Manager needed for Eden Medical
Center -Certification Requirements:CA RN LicenseBLSACUTE INPATIENT
CASE MANAGER EXPERIENCE REQUIRED AS PER MANAGERWeekend
Requirements: EOWJOB DUTIESResponsible for Care Coordination and
Care Transitions Planning throughout the acute care patient
experience. This position works in collaboration with the
Physician, Utilization Manager, Medical Social Worker and bedside
RN to assure the timely progression and transition of patients to
the appropriate level of care to prevent unnecessary admissions or
readmissions. The Care Management process encompasses communication
and facilitates care across the continuum through effective
resource coordination. The goals of this role are to include the
achievement of optimal health, access to care, and appropriate
utilization of resources balanced with the patients' self
-determination while coordinating in a timely and integrated
fashion. He/She collaborates with patients, families, physicians,
the interdisciplinary team, nursing management, quality, ancillary
services, third party payers and review agencies, claims and
finance departments, Medical Directors, and contracted providers
and community resources. If assigned to the Emergency Department,
the Care Management process is to address complex clinical and
social situations efficiently in order to avoid unnecessary
admissions.JOB ACCOUNTABILITIES:--- Reviews initial physician
admission care plan. Gathers additional medical, psychosocial, and
financial information from the patient/family interview, medical
record assessment, physicians, and other health care providers.
Determines moderate or high risk level for readmission. Conducts a
screening for ancillary supportive services, including but not
limited to Palliative Care Services' needs.--- Functionally
supervises and actively leads the health care team in developing
comprehensive cost-effective care coordination plans that meet the
clinical needs of our patients.--- Identifies and refers quality
and risk management concerns to appropriate level for patient
safety reporting and trending.--- Directs and oversees the Case
Management Assistants to determine preferences for post-acute care
services.Utilization Management.--- Reviews medical record to
ensure patient continues to meet level of care (LOC) requirements
and that chart documentation supports LOC determination and
assignment--- Works with Attending Physicians to confirm necessary
documentation to support level of care (LOC).--- Expedites
transition planning for patients who no longer require acute level
of care.--- Monitors length of stay (LOS) and outliers requiring
additional resources and/or focus.--- Collaborates with financial
counselor for delivery of inpatient stay denials.--- Assures
delivery of Medicare Important Message within 48 hours of
discharge/transition and no less than 4 hours of actual
discharge/transition.--- Actively participates in patient rounds
following the standard work as developed and collaborates with
interdisciplinary team to assure timely transition.--- Follows
policies and procedures for Physician Advisor referrals.---
Utilizes appropriate escalation process when discussing level of
care (LOC) requirements with providers.--- Consistently documents
in the EHR and other electronic software.--- Maintains current
knowledge of CMS and Joint Commission Transitions of Care
requirements, Conditions of Participation (COPs), and other
regulatory requirements.--- Effectively follows Observation
patients, re-evaluates and collaborates with attending physician
for admission or transition to appropriate level of care for the
patient.Care Coordination/ Care Transitions.--- Formulates a
transition plan after reviewing available/appropriate care options
and obtaining input, and collaborating with the patient/family and
physician, health care team, payers, and community based support
services.--- Performs, documents, and communicates assessment
findings to health care team.--- Screens 30-day readmissions;
reviews previous hospital record confers patient/family and with
interdisciplinary team to create an effective and realistic
transition plan.--- Proactively identifies barriers to care
progression and transition, and works with multi-disciplinary team
to resolve timely.--- Addresses complex clinical and social
situations efficiently in order to avoid unnecessary admissions,
improper level of care utilization, and delays in transition.
Reviews and modifys plan of care.--- Assures timely transition to
lower level of care.--- Assesses the need for follow up
appointments and when applicable communicates to patient/family
prior to transition.--- Assures necessary paperwork for post-acute
transfers to comply with state and federal regulatory
requirements.--- Identifies ED high utilizers and makes appropriate
care plans and referrals to community resources.--- Identifies
patient and families with complex psychosocial issues (social
determinants of health) and refers to health care team as
appropriate.--- Communicates with Financial Counselors regarding
uninsured, underinsured and makes referrals, as appropriate.---
Makes appropriate and timely referrals and completes documentation
to comply with state and federal regulatory requirements.---
Identifies patients appropriate for case management intervention by
reviewing the electronic health record (EHR) and meeting with
patients and collaborating with staff and physicians.--- Follows
locally determined resources and workflows for patient
transfers.Actively participates in ongoing department
operations.--- Identifies new system, processes, protocols and/or
methods to improve practices.--- Actively contributes to the
creation of cost effective practices that ensure the best
patient/provider experience, effective resource utilization, and
safe outcomes.--- Effectively communicates with Care Management
colleagues for safe transitions.--- Actively aware and manages all
communications (email, KDS, Policies & Procedures, Handoffs, and
other) and participates in all department meetings.Uses effective
interpersonal and communication skills to promote customer service
with internal and external customers.--- Develops and maintains
positive, productive, and professional relationships with the
healthcare team and representatives of community agencies.---
Relates with tact and respect to all customers with diverse
cultural and socioeconomic backgrounds without personal
judgment.--- Be a positive participant, actively engaged in all
department operations.--- Willingly provides and accepts direct,
constructive feedback to and from colleagues and the leadership
team.Tact Medical Staffing Job ID #488776. Pay package is based on
12 hour shifts and 36 hours per week (subject to confirmation) with
tax-free stipend amount to be determined. Posted job title:
Registered Nurse - Case Management - HospitalAbout Tact StaffOur
nurses choose Tact assignments because it provides the opportunity
to take on--new challenges in their careers while they travel
across the United States and gain enriching experiences on a
professional and personal level.--Our dedicated team of staffing
consultants will work with you and be your advocate as you choose
to embark on new assignments. Our team is committed to providing
our nurses and allied professionals with the most rewarding
healthcare assignments and choices at primer healthcare
institutions--nationwide. Let us handle the details; you choose the
job and location that are right for you.Be Adventurous,--Make a
Difference, Travel with Tact.--Be Adventurous ---Becoming a travel
nurse or allied professional is not only a professional adventure,
but a personal adventure as well. It is an opportunity to challenge
yourself, to explore a new place, and try amazing food...Make a
Difference-----Nurses and allied professionals make such a huge
difference in so many lives. The care and compassion you show to
your patients, does not go unnoticed. We know how important your
jobs is, which is why we take our job as recruiters so seriously.
Being able to place nurses and allied professionals in hospitals,
where you are doing something as crucial as saving lives, is
something we feel thankful to be able to do.--Travel with
Tact-----From the moment we receive your resume we begin trying to
build a relationship with you. We know the importance of becoming
your friend, before becoming your recruiter. Building friendly, yet
professional relationships allows us to discover what you truly
want... and don't want in a travel assignment.
Keywords: Tact Staff, Pittsburg , Travel Nurse RN - Case Manager, Acute Care Case Management - $2,310 per week, Executive , Castro Valley, California
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