Travel Nurse (RN) - Pediatric 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/Experience: Peds experience. Recent experience in case management, utilization management, and discharge planning. A minimum of three years of acute hospital experience or the equivalent of education and experience. Skills: Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Case Management/Utilization Review, Admission Criteria, Care coordination, Discharge Planning, 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, Utilize InterQual Criteria, Utilize Milliman Guidelines.

Preferred Skills/Experience: Teaching Hospital Experience.

Required Credentials: ID: Drivers License/State ID, Government-Issued Photo ID.

Preferred Credentials: Case management certification.

Shift & Scheduling: Some holidays and weekends may be needed.