Job Description

Talent Healthcare Staffing Inc is seeking a travel nurse RN Case Management for a travel nursing job in Oakland, California.

Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: 9 weeks
• 40 hours per week
• Shift: 8 hours, days
• Employment Type: Travel

Position Summary:
This position coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. This position oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and integrated care to prevent unnecessary admissions or readmissions. Provides discharge planning coordination and Intervention for the high risk patient presenting to the Emergency Department. This position strives to promote patient wellness, improved care outcomes, efficient utilization of health services and minimized denials of payment among a patient population with complex health needs.

Primary Responsibilities/Accountabilities:

Patient Initial and Concurrent Screening.
• 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.
• 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. Performs cost benefit analysis of care options.
• Formulates a transition plan after reviewing available/appropriate care options and obtaining input from the patient/family and physician, health care team, payers and community based support services.
• Identifies and refers quality and risk management concerns to appropriate level for corrective action plans and trending.
• Directs and oversees the Assistants to interview patient/family and determine preferences for post -acute care services. Utilization Management.
• Completes initial Inter Qual review screening upon admission for all patients placed in a hospital bed and documents, either inpatient or Observation (OBS) status.
• Performs Inter Qual continued stay and discharge planning reviews.
• Reviews medical record daily to ensure patient continues to meet level of care (LOC) requirements and that chart documentation supports LOC determination and assignment
• Works with Physician Advisor and Attending Physicians to obtain necessary documentation to support current LOC, alters LOC as needed and expedites discharge planning for patients who no longer require hospital services
• Monitors Length of Stay (LOS) and outliers requiring additional resources and/or focus and reports to management.
• Collaborates with financial counselor for delivery of inpatient stay denials.
• Assures delivery of Medicare Important Message within 48 hours of discharge and no less than 4 hours of actual discharge
• Actively participates in patient rounds following the standard work as developed and collaborates with interdisciplinary team to assure timely discharge.
• Maintains an average Utilization Review (UR) accuracy rate at or above the goal.
• Utilizes Inter Qual criteria for potential/actual admissions to determine appropriateness of the admission, appropriateness of the setting and appropriateness of the level of care.
• Follows policies and procedures for Physician Advisor referrals.
• Facilitates and expedites the discharge of patients from the Emergency Department (ED) to alternate care settings.
• Consistently documents in the Electronic Health Record (EHR) and other electronic software.
• Maintains current knowledge of medical facility and Joint Commission discharge requirements.
• Initiates timely communication with ED/admitting physician when medical necessity deficiencies are identified for level of care ordered.
• Identify avoidable admissions and escalate as appropriate.

Care Coordination/ Care Transitions.
• Performs initial screening on all hospitalized patients upon admission to identify case management needs.
• Performs, documents and communicates assessment findings to health care team.
• Screens 30-day readmissions; reviews previous hospital record confers with interdisciplinary team on discharge plan
• Proactively identifies barriers to discharge and works with multi-disciplinary team to expedite care, monitor length of stay (LOS) and facilitate discharge
.• Addresses complex clinical and social situations efficiently in order to avoid unnecessary delays in discharge.
• completion of treatment plan and transition plan

Certifications:

• CA RN License
• BLS
• ACLS

Preferred:

• RN Case Manager with acute hospital discharge planning experience; inpatient acute rehabilitation preferred.

Talent Healthcare Staffing Inc Job ID #23048358. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse - Case Manager

About Talent Healthcare Staffing Inc

TALENT Healthcare Staffing Services (THSS), a distinguished spin-off from TALENT

Software Services with a rich 35-year legacy in the staffing industry.

Founded by Dave Iacarella, a Service-Disabled Vietnam-Era Veteran, THSS is

dedicated to meeting the evolving needs of healthcare clients in nursing, allied, and

clinical staffing.

Our vision is rooted in unparalleled human capital solutions for Health Systems,

Hospitals, and Long-Term Care (LTC) facilities.

At THSS, our commitment goes beyond placement. We ensure meticulous

onboarding and prioritize the quality and productivity of our resources, reflecting our

dedication to long-term partnerships and client success.

As a veteran-led organization, THSS embodies service, integrity, and excellence in

healthcare staffing. We believe in aligning talent with healthcare needs, positioning

THSS as your trusted partner in the dynamic landscape of healthcare staffing.

Visit us at to learn more and get started today.

Job Tags

Immediate start, Start working today, Shift work,

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