Registered Nurse - Case Manager @ Medstar Washington Hospital Center

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Company: MedStar Washington Hospital Center

Location: Washington, DC 20011

Description:

Job Title: Registered Nurse Job Specialty: Case Manager/Discharge Planner Job Duration: 13 weeks Shift: Day, 5x8-Hour (08:00 - 16:30) with rotating weekends Guaranteed Hours: Experience: Minimum 2 years required, must have 1 prior travel assignment License: Must have a valid DC License in hand (for DC locations) Certifications: BLS, RN, or LMSW/LGSW/LCSW Must-Have: Experience with discharge planning, obtaining facility choices, sending referrals, issuing IMM and other Medicare letters Job Description: - Serve as a Social Worker/Discharge Planner- Work 40 hours a week during the day shift from 8:00 a.m. to 4:30 p.m.- Be available to work every 5-6 weekends for one shift as needed- Possess skills in Cerner, Acute Hospital, Insurance Company, and Long Term Acute Care/Rehab/Skilled Nursing- Preferred experience in Home Health, Hospice, telephonic, and previous charge experience- Demonstrate skills in Case Management/Utilization Review including Admission Criteria, Benefits Eligibility, Care Coordination, Discharge Planning, Needs Assessment/Order DME, Plan of Care, Pre-Cert Review, Prior Authorizations, and Workers Comp Case Management- Possess required regulatory skills in CMS (Centers for Medicare and Medicaid Services), Department of Health, HIPAA (The Health Insurance Portability and Accountability Act), and The Joint Commission/Core Measure/National Safety Goals- Preferred regulatory skills in Workers Compensation- Manage patient diagnoses including Geriatrics, ICU, Heart and Vascular, General Surgery, General Medicine, and MICU- Adhere to a business casual dress code ensuring a clean, neat, and professional appearance (no scrubs)- Mandatory flu vaccine compliance with no exemptions allowed- Complete orientation of 28 hours at 50% non-billablePlease note that the position requires a commitment to not request time off during the first two weeks of the assignment.

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