Cynet Health
Travel Nurse RN - Case Manager in Oakland, CA
Cynet Health, Oakland, California, United States, 94616
**Job Title:** Registered Nurse**Job Specialty:** Case Manager**Job Duration:** 13 weeks**Shift:** Day 5x8-Hour (08:00 - 16:30)**Guaranteed Hours:** Not specified**Experience:** Acute hospital discharge planning experience preferred; inpatient acute rehabilitation experience preferred**License:** CA RN License**Certifications:** BLS, ACLS**Must-Have:** 2 years of experience, Epic experience preferred
**Job Description:**
- Coordinate utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation.- Oversee management of acute patient populations across the care continuum, focusing on providing coordinated and integrated care.- Provide discharge planning coordination and intervention for high-risk patients presenting to the Emergency Department.- Promote patient wellness, improved care outcomes, efficient health services utilization, and minimized denials of payment.- Conduct patient initial and concurrent screening and review physician admission care plans.- Gather additional medical, psychosocial, and financial information through patient/family interviews and medical record assessments.- Determine moderate or high-risk levels for readmission and conduct screenings for ancillary supportive services.- Supervise and lead health care teams in developing comprehensive, cost-effective care coordination plans.- Perform cost-benefit analysis of care options and formulate transition plans based on available care options.- Complete initial InterQual review screenings upon admission, document status, and ensure patient meets level of care requirements.- Collaborate with financial counselors on inpatient stay denials and assure delivery of Medicare Important Message within required time.- Participate in patient rounds and collaborate with the interdisciplinary team for timely discharge.- Utilize InterQual criteria for admissions to determine appropriateness of the admission, setting, and level of care.- Facilitate and expedite discharge of patients from the Emergency Department to alternate care settings.- Document consistently in the Electronic Health Record and maintain knowledge of medical facility and discharge requirements.- Initiate timely communication with admitting physicians for medical necessity deficiencies and identify avoidable admissions.- Perform initial screenings on all hospitalized patients, document assessments, and communicate findings to the health care team.- Identify barriers to discharge, work with a multi-disciplinary team to expedite care, monitor length of stay, and facilitate discharge.- Address complex clinical and social situations to avoid unnecessary delays in discharge and transition plan completion.
**Job Description:**
- Coordinate utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation.- Oversee management of acute patient populations across the care continuum, focusing on providing coordinated and integrated care.- Provide discharge planning coordination and intervention for high-risk patients presenting to the Emergency Department.- Promote patient wellness, improved care outcomes, efficient health services utilization, and minimized denials of payment.- Conduct patient initial and concurrent screening and review physician admission care plans.- Gather additional medical, psychosocial, and financial information through patient/family interviews and medical record assessments.- Determine moderate or high-risk levels for readmission and conduct screenings for ancillary supportive services.- Supervise and lead health care teams in developing comprehensive, cost-effective care coordination plans.- Perform cost-benefit analysis of care options and formulate transition plans based on available care options.- Complete initial InterQual review screenings upon admission, document status, and ensure patient meets level of care requirements.- Collaborate with financial counselors on inpatient stay denials and assure delivery of Medicare Important Message within required time.- Participate in patient rounds and collaborate with the interdisciplinary team for timely discharge.- Utilize InterQual criteria for admissions to determine appropriateness of the admission, setting, and level of care.- Facilitate and expedite discharge of patients from the Emergency Department to alternate care settings.- Document consistently in the Electronic Health Record and maintain knowledge of medical facility and discharge requirements.- Initiate timely communication with admitting physicians for medical necessity deficiencies and identify avoidable admissions.- Perform initial screenings on all hospitalized patients, document assessments, and communicate findings to the health care team.- Identify barriers to discharge, work with a multi-disciplinary team to expedite care, monitor length of stay, and facilitate discharge.- Address complex clinical and social situations to avoid unnecessary delays in discharge and transition plan completion.