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:

References must cover at least 1 full year of relevant experience in specialty within the past 3 years

Cannot have any hits/suspensions on license or any background hits from any point in the past.

Required Skills/Experience: Acute Hospital, Case Management/Utilization Review, Admission Criteria, Benefits Eligibility, Care coordination, Discharge Planning, Needs Assessment/ Order DME, Plan of Care, Prior Authorizations, Acute Hospital Experience by Specialty, MS, Regulatory, CMS: Centers for Medicare and Medicaid Services, DRG (Diagnosis Related Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), OSHA: Occupational Safety and Health Administration, The Joint Commission/ Core Measure/National Safety Goals, and Additional Skills, Extra checklist required.

2-year acute Hospital Case Manager experience performing Care Coordination, Discharge Planning in a very fast paced environment.

Preferred Skills/Experience: Teaching Hospital Experience, Community Hospital Experience, LTAC Experience. Ambulatory*, Behavioral Health*, Home Health*, Hospice*, Insurance Company*, Long Term Acute Care/Rehab/Skilled Nursing*, Data Abstraction*, Determine Medical Necessity per Evidence-Based Guidelines*, Disability case management*, Disease management*, Utilize InterQual Criteria*, Worker’s comp case management*, Behavioral Health*, Emergency Department*, ICU*, NICU*, Pediatrics*, SDU/PCU/IMC/Obs*, CPT (Current Procedural Terminology) coding and billing*, Department of Health*, ICD 10 Coding*, NCQA (National Committee for Quality Assurance), and Worker’s Compensation.

Unit/Facility Details: All positions at Providence Health & Services require that any and all lab items requested during onboarding be completed within 72 hours of signing a contract - no exceptions. This means candidates must be responsive and willing to go to a lab to complete health orders ASAP after signing. Failure to comply may lead to a pushed start or cancellation as assessed by the facility.

HARDSTOP, clinician must have current work history within 2 years.

Special Requests: RTO must be listed at time of submission. Pre-Approved Time Off: 1 Request. *Anything more than 7 days RTO will potentially delay your offer while we run approval by the client. To minimize turn around please limit total RTO requests

Shift & Scheduling: Weekends Required: 2 weekends every 6 weeks. Call not required. Weekend Coverage: Every Other Number of Weekend Shifts Per Contract: To meet dept needs. Must commit to working 3 of the 5 holidays (Thanksgiving, Xmas Eve, Xmas Day, NYE, NYD).

Floating Requirements: Will this traveler need to float between like units? Yes, based on need. ***** ALL travelers are expected to float between all facilities within a given state. travelers' refusal to float may result in termination of assignment and/or forfeiture of guaranteed hours.*****