Details
Client Name
Holy Cross Hospital - Davis
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
30792222
Job Title
RN - Case Management
Weekly Pay
$2640.0
Shift Details
Shift
Day - 8x5 - 09AM
Scheduled Hours
40
Job Order Details
Start Date
03/10/2025
End Date
06/07/2025
Duration
13 Week(s)
Job Description
Job Title: Registered Nurse (RN)
Job Specialty: Case Management
Job Duration: 13 weeks
Shift: 8-hour day shift, 9:30 AM - 5:30/6:00 PM
Guaranteed Hours: 40 per week
Experience: 1 year of nursing or case management experience
License: State RN license or RN license from a participating state in the NLC
Certifications: American Heart Association Basic Life Support (BLS) required
Must-Have: Associate Degree in Nursing required; Bachelor Degree in Nursing preferred. Proficiency in English (speak, read, write).
Job Description:
- Review and analyze information related to patient admission in accordance with policy, documenting assessments using case management software and/or other clinical information systems.
- Assess patients' physical, psychosocial, cultural, and spiritual needs through various methods such as observation, interview, and review of records, working closely with patients, physicians, treatment teams, and caregivers.
- Facilitate discharge planning and work with patients, families, and treatment teams to make necessary referrals and arrangements, ensuring the documentation of all actions.
- Participate in Performance Improvement processes through concurrent chart review and engage with clinical effectiveness teams.
- Document Case Management actions in electronic medical records.
- Confirm treatment goals and anticipated plans of care through discussions with the treatment team and review of documentation.
- Utilize tools such as guidelines, criteria, or clinical pathways to facilitate plans of care and ensure appropriateness.
- Communicate treatment goals or best practices to the treatment team, including physicians, using established criteria and guidelines.
- Assess, coordinate, and evaluate the use of resources and services relative to plans of care, discussing variances as needed with the treatment team.
- Organize family conference meetings as necessary and document outcomes.
- Participate in and/or lead interdisciplinary rounds to facilitate plans of care and discharges.
- Interface closely with Social Workers, Homecare Coordinators, Ambulatory Care Case Managers, Disease Managers, and Utilization Reviewers to ensure seamless and timely delivery of services, avoiding unnecessary delays in discharge.
- Identify variances in anticipated plans of care, track them for process improvement, and refer to the appropriate parties for peer review as needed.
- Track avoidable days using case management software and identify and apply evidence-based criteria/regulatory guidelines for accuracy in establishing appropriate patient status and level of care.
- Work with third-party payers to satisfy utilization review requests and obtain approval for stays.
- Participate in denial management with Case Management leadership by providing clinical information for denial reversals.
- Perform utilization reviews in accordance with Utilization Management Plans, including concurrent and retroactive reviews to verify admission and bed status.
- Proactively manage factors influencing length of stay using critical thinking skills to minimize variance days.
- Monitor appropriate patient status interactively with physicians to ensure the correct order is placed early in admission.
- May need to float to various locations within a 60-mile range or identified float zone, possibly performing duties outside of original assignment requirements as per policy.
Client Details
Address
1600 West Antelope Drive
City
Layton
State
UT
Zip Code
84041
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