Travel Nurse (RN) - Case Management

Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.

Additional Details:

Required Skills and Experience: Work Settings, Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Case Management/Utilization Review, Care coordination, Discharge Planning, Utilization Review, Admission Criteria, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Regulatory, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICD 10 Coding, NCQA (National Committee for Quality Assurance), OSHA: Occupational Safety and Health Administration, The Joint Commission/ Core Measure/National Safety Goals, Worker’s Compensation

Preferred Skills and Experience: Teaching Hospital Experience. Admission Criteria, Utilize InterQual Criteria, Utilize Milliman Guidelines, Appeals and Denials.

Required Credentials: Government issued photo ID.

Special Request Requirements: You must be willing to float, work weekends, and generally just be very flexible. Please note that the facility needs help through all Mardi Gras, so please minimize any RTO requests from 2/13 - 2/22.

Details:

• AUTO OFFER - NO INTERVIEW: This is an auto-offer position. You will likely not interview with the facility prior to receiving an offer. However, an interview can be arranged upon request. All time off requests must be submitted at application. Scheduling requests must be worked out with the manager directly upon starting the assignment. Any offers for this job will require a clear "Yes" or "No" response from the nurse within 24hrs or the offer must be declined.