Travel Nurse RN - Case Manager, Acute Care Case Management - $2,310 per week

Tact Staff is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Castro Valley, California.

Job Description & Requirements

• Specialty: Acute Care Case Management
• Discipline: RN
• Start Date: 09/23/2024
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours
• Employment Type: Travel

RN Case Manager needed for Eden Medical Center -

Certification Requirements:
CA RN License
BLS

Weekend Requirements: EOW

JOB DUTIES
Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self –determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.

JOB ACCOUNTABILITIES:

• Reviews initial physician admission care plan. Gathers additional medical, psychosocial, and financial information from the patient/family interview, medical record assessment, physicians, and other health care providers. Determines moderate or high risk level for readmission. Conducts a screening for ancillary supportive services, including but not limited to Palliative Care Services’ needs.
• Functionally supervises and actively leads the health care team in developing comprehensive cost-effective care coordination plans that meet the clinical needs of our patients.
• Identifies and refers quality and risk management concerns to appropriate level for patient safety reporting and trending.• Directs and oversees the Case Management Assistants to determine preferences for post-acute care services.Utilization Management.
• Reviews medical record to ensure patient continues to meet level of care (LOC) requirements and that chart documentation supports LOC determination and assignment
• Works with Attending Physicians to confirm necessary documentation to support level of care (LOC).
• Expedites transition planning for patients who no longer require acute level of care.
• Monitors length of stay (LOS) and outliers requiring additional resources and/or focus.
• Collaborates with financial counselor for delivery of inpatient stay denials.
• Assures delivery of Medicare Important Message within 48 hours of discharge/transition and no less than 4 hours of actual discharge/transition.
• Actively participates in patient rounds following the standard work as developed and collaborates with interdisciplinary team to assure timely transition.
• Follows policies and procedures for Physician Advisor referrals.
• Utilizes appropriate escalation process when discussing level of care (LOC) requirements with providers.• Consistently documents in the EHR and other electronic software.
• Maintains current knowledge of CMS and Joint Commission Transitions of Care requirements, Conditions of Participation (COPs), and other regulatory requirements.
• Effectively follows Observation patients, re-evaluates and collaborates with attending physician for admission or transition to appropriate level of care for the patient.Care Coordination/ Care Transitions.
• Formulates a transition plan after reviewing available/appropriate care options and obtaining input, and collaborating with the patient/family and physician, health care team, payers, and community based support services.
• Performs, documents, and communicates assessment findings to health care team.
• Screens 30-day readmissions; reviews previous hospital record confers patient/family and with interdisciplinary team to create an effective and realistic transition plan.
• Proactively identifies barriers to care progression and transition, and works with multi-disciplinary team to resolve timely.
• Addresses complex clinical and social situations efficiently in order to avoid unnecessary admissions, improper level of care utilization, and delays in transition. Reviews and modifys plan of care.
• Assures timely transition to lower level of care.
• Assesses the need for follow up appointments and when applicable communicates to patient/family prior to transition.
• Assures necessary paperwork for post-acute transfers to comply with state and federal regulatory requirements.• Identifies ED high utilizers and makes appropriate care plans and referrals to community resources.• Identifies patient and families with complex psychosocial issues (social determinants of health) and refers to health care team as appropriate.
• Communicates with Financial Counselors regarding uninsured, underinsured and makes referrals, as appropriate.
• Makes appropriate and timely referrals and completes documentation to comply with state and federal regulatory requirements.
• Identifies patients appropriate for case management intervention by reviewing the electronic health record (EHR) and meeting with patients and collaborating with staff and physicians.
• Follows locally determined resources and workflows for patient transfers.Actively participates in ongoing department operations.• Identifies new system, processes, protocols and/or methods to improve practices.• Actively contributes to the creation of cost effective practices that ensure the best patient/provider experience, effective resource utilization, and safe outcomes.
• Effectively communicates with Care Management colleagues for safe transitions.
• Actively aware and manages all communications (email, KDS, Policies & Procedures, Handoffs, and other) and participates in all department meetings.Uses effective interpersonal and communication skills to promote customer service with internal and external customers.
• Develops and maintains positive, productive, and professional relationships with the healthcare team and representatives of community agencies.• Relates with tact and respect to all customers with diverse cultural and socioeconomic backgrounds without personal judgment.
• Be a positive participant, actively engaged in all department operations.
• Willingly provides and accepts direct, constructive feedback to and from colleagues and the leadership team.

Tact Medical Staffing Job ID #481035. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse - Case Management - Hospital

About Tact Staff

Our nurses choose Tact assignments because it provides the opportunity to take on new challenges in their careers while they travel across the United States and gain enriching experiences on a professional and personal level.

Our dedicated team of staffing consultants will work with you and be your advocate as you choose to embark on new assignments. Our team is committed to providing our nurses with the most rewarding healthcare assignments and choices at primer healthcare institutions nationwide. Let us handle the details; you choose the job and location that are right for you.

Be Adventurous, Make a Difference, Travel with Tact.

Be Adventurous - Becoming a travel nurse is not only a professional adventure, but a personal adventure as well. It is an opportunity to challenge yourelf, to explore a new place, and try amazing food...

Make a Difference - Nurses make such a huge difference in so many lives. The care and compassion you show to your patients, does not go unoticed. We know how important your jobs is, which is why we take our job as recruiters so seriously. Being able to place nurses in hospitals, where you are doing something as crucial as saving lives, is something we feel thankful to be able to do.

Travel with Tact - From the moment we receive your resume we begin trying to build a relationship with you. We know the importance of becoming your friend, before becoming your recruiter. Building friendly, yet professional relationships allows us to discover what you truly want... and don't want in a travel assignment.

Location: Hayward, CA, US

Posted Date: 11/25/2024