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Travel Nurse RN - Case Manager - $2,680 per week in Santa Barbara, CA

Mindlance Health

Santa Barbara, CA

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JOB DETAILS
SALARY
$2,679.74–$2,679.74
SKILLS
Acute Care, Billing, Case Management, Centers for Medicare and Medicaid Services (CMS), Certified Case Manager (CCM), Communication Skills, Community and Social Services, Cost Control, Current Procedural Terminology (CPT), Customer Satisfaction, Diagnosis-Related Group (DRG), Discharge Plans, Documentation, Epic Systems, HIPAA (Health Insurance Portability and Accountability Act), Health Department, Health Informatics, Healthcare Effectiveness Data and Information Set (HEDIS), Hospital, ICD-10, Long-Term Care, Medical Coding, Medical Diagnosis, National Committee for Quality Assurance (NCQA), Nursing, Nursing Credentials, OSHA, Patient Care, Patient Care Authorizations, Patient Care Denials, Presentation/Verbal Skills, Problem Solving Skills, Quality Assurance, Registered Nurse (RN), Rehabilitation Nursing, Safety/Work Safety, Sales Management, Social Work, The Joint Commission (TJC), Utilization Management, Willing to Travel, Worker's Compensation
LOCATION
Santa Barbara, CA
POSTED
Today
ID: 76685076 Shift: Day 5x8-Hour (08:00 - 16:30) Description: *Disclaimer Hight cost of living! Please research before submitting.NO 1ST TIMERS!ASAP STARTSBCH Care Management Utilization Management Case ManagerResponsible for the utilization management, quality assurance, and discharge planning activities for assigned services/areas/patients within Cottage Health. Case management activities will result in quality outcomes, optimal care/cost management of services and/or procedures, a high level of customer satisfaction and contribution to an overall value-oriented experience of stakeholders and persons served.Average Daily Census: 30Visits/Day: 18Rooms: 30Beds: 32Patient Age Group: AdultsCall req: NoFloat req: Yes, this is required and MUST be willing to floatScheduling type: BlockShift: Shift: 5x8, 0730-1600; The shift is Monday through Friday with weekends off)Documentation System: EPICAcute Hospital SettingLong Term Acute Care/Rehab/Skilled Nursing LEVEL OF EDUCATIONMinimum: Associate's Degree in Nursing (ADN)Preferred: Bachelor's Degree in Nursing (BSN)CERTIFICATIONS, LICENSES, REGISTRATIONSMinimum: Current California Nursing license in good standing (required as of June 2006) & BLSPreferred: Certification in Case ManagementYEARS OF RELATED WORK EXPERIENCEMinimum: 2 years direct patient care experience in an acute care setting. Other patient careexperience may be considered.Preferred: Previous experience as a case manager in an acute care setting.KNOWLEDGE, SKILLS, and ABILITIESAll knowledge, skills, and abilities listed indicate the minimum level deemed necessary toperform this job proficiently.PROBLEM SOLVING AND DECISION MAKINGExcellent organizational and analytical skills required. Able to make independent decisions andutilize effective problem solving models and methods. Able to understand and leverage allcontinuum of care optionsINTERPERSONAL SKILLSDevelops, maintains, and models professional, objective, and value-oriented interpersonalskills, continuously promoting and fostering productive relationships. Maintain at all timespositive and proactive communication with peers, supervisors, and other stakeholders to thedepartment. Proactively seeks and fosters team-building relationships.For this role, we need someone actively functioning as an RNCM, with hands-on experience in inpt care coordination. discharge planning, and post-acute clinical payer authorization.COMMUNICATION SKILLSThe employee communicates effectively.Continuously demonstrates clear, objective, and professional communication at all times.Actively pursues and ensures both appropriate oral and written communication regarding casemanagement functions, activities, and responsibilities.Case Management/Utilization ReviewAdmission Criteria RequiredCare coordination RequiredDischarge Planning RequiredUtilize InterQual Criteria RequiredUtilize Milliman Guidelines RequiredUtilization ReviewAdmission Criteria RequiredAppeals and Denials RequiredConcurrent Review RequiredContinued Stay Reviews RequiredMedical Necessity RequiredRetrospective Review RequiredUtilize InterQual Criteria RequiredUtilize Milliman Guidelines RequiredREGULATORYCMS: Centers for Medicare and Medicaid Services RequiredCPT (Current Procedural Terminology) coding and billing RequiredDepartment of Health RequiredDRG (Diagnosis Related Groups) RequiredHEDIS (The Healthcare Effectiveness Data and Information Set) Measures RequiredHIPAA (The Health Insurance Portability and Accountability Act) RequiredICD 10 Coding RequiredNCQA (National Committee for Quality Assurance) RequiredOSHA: Occupational Safety and Health Administration RequiredThe Joint Commission/ Core Measure/National Safety Goals RequiredWorker s Compensation Required Modified 12:00:00 AM Account Manager: Laura Kremicki Account Manager Email: COVID-19 Vaccine: Required + Booster - Medical/Religious Exemptions only Flu Vaccine: Required - Medical/Religious Exemptions and Declinations Allowed Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : Preferred Trauma Level II Experience : Preferred Travel Experience Required : Yes Certifications : BLSSkills : Acute Hospital, Long Term Acute Care/Rehab/Skilled Nursing, Admission Criteria, Care coordination, Discharge Planning, Utilize InterQual Criteria, Utilize Milliman Guidelines, Admission Criteria, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity, Retrospective Review, Utilize InterQual Criteria, Utilize Milliman Guidelines, 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, The Joint Commission/ Core Measure/National Safety Goals, Workers Compensation Unit Details Staffing & Scheduling Scheduling Type : block Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : When needed Call Required : N/A Weekend Coverage : - Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : - Orientation Hours : - Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 30 Number of Visits Per Day : 18 Number of Rooms : 30 Number of Beds : 32 Additional Unit Information Interdisciplinary Support : Interpretation Services, Social Services, Transportation Patient Diagnoses : - Special Procedures/Unit Details : For this role, we need someone actively functioning as an RNCM, with hands-on experience in inpt care coordination. discharge planning, and post-acute clinical payer authorization. Must have true case management practicve. Special Equipment : - #Tier1 Travel Compliance Compliance document deadline is the Wednesday prior to start at 5:00pm PST RTO required with submittal License in hand required with submittal Modules: Modules are not required Submittal Details: #Tier1 Travel ComplianceCompliance document deadline is the Wednesday prior to start at 5:00pm PSTRTO required with submittalLicense in hand required with are not required Guaranteed Hours: Contract Weeks:91

About the Company

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Mindlance Health