ID: 63686097 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Weekend Requirements - UR RN 4 weekend shifts (days) in a six-week period but can be moreJob Description Start date: ASAP Floating Expectation: No Ratios: 1:40 Years of experience REQ: 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) First-timers accepted: Seasoned traveler is required Hardstop Weekend REQ: minimum of 4 shift w/in a 6-week period CA state license: Yes Pending License accepted: Yes, but must be licensed upon start date RTO Restrictions: No more than 7 daysHospital Highlights Type of Facility: Acute Care Facility Scrub Color: Business Attire Modified 12:00:00 AM Account Manager: Jordan Hinojos Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : 35-45 Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : Skills : Acute Hospital, Admission Criteria, Appeals and Denials, Audits, CMS: Centers for Medicare and Medicaid Services, Concurrent Review, Continued Stay Reviews, CPT (Current Procedural Terminology) coding and billing, 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*, ICU, Medical Necessity, MS, NCQA (National Committee for Quality Assurance)*, OSHA*, Pre-Cert Review, Prior Authorization, Retrospective Review, Surgical Services, The Joint Commission/ Core Measure/National Safety Goals, Utilize InterQual Criteria, Workers Compensation*, Ca and Medi-Cal knowledge/experience* Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : 40 Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : 4 weekend shifts in a 6-week period Pre-Approved Time Off : one Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Neonates, Adolescents, Adults, Geriatrics Daily Census : 40 Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : - Patient Diagnoses : Epic and Interqual are HARDSTOPSNurse to Patient ratio 1:35-45, This is a HARDSTOP, Clinician must be comfortable with this, if not please redirect. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.