RN - Case Management

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Company: Holy Cross Hospital - Davis

Location: Layton, UT 84041

Description:

Details

Client Name
Holy Cross Hospital - Davis
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Case Manager
Job ID
30657239
Job Title
RN - Case Management
Weekly Pay
$2626.0

Shift Details

Shift
Day - 8x5 - 09AM
Scheduled Hours
40

Job Order Details

Start Date
02/24/2025
End Date
05/17/2025
Duration
12 Week(s)

Job Description
Job Title:
Registered Nurse (RN)

Job Specialty:
Case Management

Job Duration:
12 weeks

Shift:
8-hour day shift, 9:30 AM - 5:30/6:00 PM

Guaranteed Hours:
40 hours per week

Experience:
1 year of nursing or case management experience

License:
State RN License or RN License from a participating state in the Nurse Licensure Compact (NLC)

Certifications:
American Heart Association Basic Life Support (BLS)

Must-Have:
Working knowledge of regulatory requirements and accreditation standards is preferred. Floating may be required within 60 miles of the original assignment location or designated float zone, and may include duties outside of original job requirements in accordance with policy.

Job Description:

- Review and analyze information related to admission in accordance with policy.
- Document assessments using case management software and other clinical information systems.
- Assess patients' physical, psychosocial, cultural, and spiritual needs through observation, interviews, and review of records.
- Interface with patients, physicians, interdisciplinary teams, and caregivers to assist in making decisions toward the next level of care.
- Review and analyze information related to utilization management when applicable.
- Facilitate discharge planning using case management software, working with patients, families, and treatment teams.
- Make referrals and arrangements as necessary and document actions.
- Participate in the Performance Improvement process through concurrent chart reviews and participation on clinical effectiveness teams.
- Document case management actions in electronic medical records (EMR).
- Confirm treatment goals and anticipated plans of care through discussions with the treatment team and reviewing documentation.
- Utilize tools such as guidelines, criteria, and clinical pathways to assist in facilitating the plan of care and appropriateness.
- Communicate treatment goals or best practices to the treatment team, including physicians, using established criteria and guidelines.
- Assess, coordinate, and evaluate the use of resources and services relative to the plan of care and discuss variances with the treatment team as needed.
- Communicate modifications in the plan of care to the treatment team and any needs for further documentation.
- Facilitate family conference meetings as needed and document the outcomes.
- Participate in and/or lead interdisciplinary rounds to facilitate the plan of care and discharge.
- Review variances in the plan of care with the Case Management Director/Manager as needed.
- Work closely with Social Workers, Homecare Coordinators, Ambulatory Care Case Managers, Disease Managers, and Utilization Reviewers to ensure seamless and timely delivery of services and avoid unnecessary delays in discharge.
- Maintain updated referral resource lists.
- Identify when variances occur in the anticipated plan of care, track for process improvement, and refer to medical officers or third-party reviewers for peer review as needed.
- Track avoidable days using case management software.
- Identify and apply evidence-based criteria and regulatory guidelines for accuracy in establishing appropriate patient status and level of care.
- Apply medically necessary validation and enlist physician advisors and/or third-party reviewers as needed.
- Be involved with identifying length of stay and projected discharge dates early in admission and communicate this to the care team.
- Work with third-party payers to satisfy utilization review requests and obtain approval for stays.
- Participate in providing information on outliers for length of stay and recommend proactive solutions.
- Participate in denial management with Case Management Manager/Director with clinical information for denial reversals.
- Perform utilization review in accordance with utilization management plans, including concurrent/retro reviews and verifying admission and bed status.
- Proactively manage factors influencing length of stay using critical thinking skills to minimize variance days.
- Monitor appropriate patient status proactively with interaction with the physician to ensure the correct order early in admission.

Client Details

Address
1600 West Antelope Drive
City
Layton
State
UT
Zip Code
84041

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