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Travel Nurse - Case Manager And Utilization Review RN
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$88,000 - $173,200 a year
Full-time
- The Case Manager (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management teams for short term staffing as well as provide consultative support to the front-line care management team, as appropriate.
- Quality and Risk Management issues will also be monitored for and reported as appropriate Continuum of Care Planning Responsible for integrating the assessment of the need for post-hospital services and determination of an appropriate discharge plan for complex cases Educates patient/family as to options/choices within the level of care determined to be appropriate.
- Initiates and insures completion of all necessary paperwork Facilitates completion of orders as required prior to transfer of patient to the next level of care in a timely manner so discharge is not delayed Continuum of Care planning will emphasize education and collaboration with physicians, family members, clinical social workers, nursing staff, therapists, and case managers from contracted payors when appropriate to determine discharge plan that will be of maximum benefit to the patient.
- Knowledge/understanding of InterQual and/or MCG criteria of medical necessity
- Certification in CCM (certified case manager), ACM (Accredited Case Manager), MCG, and/or InterQual
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