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.

Manager may or may not interview. Clinician must be okay with this. If Clinician has questions, please email the AM.

Unit Details: This is an in office setting in Washington DC. Some face to face will be required at the wellness center off Minnesota avenue in SE DC. Training and office work are located off Connecticut street and Tilden street in NW DC.

Chronic diagnoses (High Risk Pregnancy, Postpartum, DM, CHF, COPD, Asthma, obesity/overweight, All Behavorial Health, etc.).

May come into contact with Covid Patients.

**Required Skills/Experience:**Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Admission Criteria, experience in Care coordination, Discharge Planning, Utilizing InterQual Criteria, and Utilizing Milliman Guidelines

Regulatory skills required: knowledge of CPT codes, Department of Health DRG, HEDIS measures, NCQA, OSHA procedures and JCC

Preferred Skills/Experience: Previous Charge; LTAC; Community Hospital; Teaching Hospital

Procedures/Diagnostics/Treatments Performed on Unit: Will need to make calls to enrollees in Washington DC area to complete comprehensive assessments, developing care plans, and ongoing management within the EMR (guiding care/Healthedge); Care plans must be individualized and address Social Determinants of Health (sDOH) needs. Must be able to collaborate with hospitals, physicians, etc. to ensure successful execution of the care plan;

Documentation must reflect NCQA and contract requirements / timelines; Enrollees are Medicaid recipients, the most vulnerable population. Must be able and willing to care for Pregnant Persons/Newborns to Geriatric age groups

Previous Employment Requirements: If a nurse has held previous employment with Medstar, must be gone for a minimum of 1 year to return as a traveler.