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GQR Healthcare is Hiring a Travel Nurse RN - Case Manager in Salinas, CA Near Salinas, CA
Job Title: Case Manager
Registered Nurse
Day Shift
Job DescriptionWe are seeking two experienced Registered Nurses for a contract position in Case Management. The ideal candidates will have a minimum of 5 years of experience in a Case Management setting, with a strong background in Discharge Planning and Utilization Review. Previous travel experience is highly preferred. Key Responsibilities
Work collaboratively with physicians to determine patient admission criteria.
Conduct utilization reviews with payers.
Collaborate with Acute Care Management Nurse, bedside Staff Nurse, and Social Worker for clinical coordination of patients’ hospital stays.
Comply with CMS rules and regulations and conditions of participation, as well as commercial payer
specific guidelines to prevent denials and revenue loss.
Requirements
Registered Nurse in the State of California.
BLS issued through American Heart Association.
Experience with InterQual software; Meditech experience is preferred.
CCM/ACM preferred, but not required.
Shift Details
10
hour shift, Monday to Friday, with varied start times between 7:00AM
9:00AM.
Weekend and holiday rotation is required.
Flexibility to work on different teams is necessary.
Dress Code
Business casual or professional scrubs of any color. No other facility logos permitted.
Orientation
Start any day of the week.
Complete paperwork and obtain badge in Human Resources.
Complete Respiratory Fit Test in Occupational Health.
Meet with Nursing Education to complete appropriate testing for their unit.
Finish shift with a Clinical Preceptor on the unit.
One week unit specific training to familiarize with the documentation, processes, and resources.