Travel Nurse RN - Case Manager - $2,943 per week in San Diego, CA

Weekly Pay Range - $2649 To $2944

Position Summary:
Care for ill, injured, or convalescing patients or persons with disabilities in hospitals, nursing homes, clinics, private homes, group homes, and similar institutions.
May work under the supervision of a registered nurse. Licensing required.
Reports To:
Contracted Medical Facility's onsite Nurse Manager/Supervisor, Physicians
Cynet Health Account Manager
Cynet Health Director of Nursing
Duties and Responsibilities:
Performs admission, concurrent, and retrospective reviews on all patients.
Ensures that status and level of care determination are accurate upon admission.
Ensures that pre certifications/authorizations are obtained and documented appropriately for all admissions, surgeries, and procedures.
Follows Medicare guidelines regarding utilization review.
Submits telephonic and/or fax notification/clinical information
Follows up with insurer for authorizations.
Identifies potentially high risk patients and refer to Social Work.
Provides coaching to physicians as needed regarding effective clinical documentation Conducts Initial Assessments to develop plan of care.
Ensures that treatment plan is implemented, re-evaluated, and updated daily
Facilitates effective communication between members of the treatment team
Coordinates meetings w/ families and treatment team
Facilitates arrangement of post-acute care services
Acts as an advocate for the patient/family
Follows Medicare guidelines regarding patient choice, admit/discharge notifications, and appeals.
Maintains accountability for facilitating clinical patient progression through a defined plan of care to achieve optimal outcomes.
Identifies, document, and report quality, cost, and risk variances related to patient's plan of care.
Minimum Job Requirements:
Graduate of an accredited school of nursing, with current licensure in state practicing in
good standing in the state of practice.
Evidence of minimum two years of current hospital experience.
Evidence of current BLS credential mandatory.