Pride Health is hiring: RN CASE MANAGER in Lakewood

Pride Health is currently seeking candidates for an " RN- Case Management " position that will provide support to our client's healthcare systems in Lakewood CO. This is a contract assignment with a high likelihood of extension and a great way to start working with a top-tier healthcare organization!

Note: We have other positions available, if you want to explore more

Duration: 13 Weeks
Schedule: 40hrs./week
Shift: Shift: 8hr day shift Weekends Required? Yes

Shift Details: Days-8:30 am - 4:30 pm

OnCall Requirements: 2 weekend days a month

Duties:

• Reviews & analyzes information relative to admission in accordance with policy and documents assessment using case management software and/or other clinical information system.
• Assesses patient's physical, psychosocial, cultural, and spiritual needs through observation, interview, review of records and interfacing with patient, physician and interdisciplinary team and caregivers to assist patient/family in making decisions toward next level of care.
• Reviews & analyzes information relative to utilization management when applicable. • Facilitates discharge planning using case management software, working with patients, families and treatment team making any needed referrals/arrangements and documenting actions.
• Participates in the Performance Improvement process through concurrent chart review and participation on clinical effectiveness teams. • Documents CM actions taken in EMR.
• Confirms treatment goals and anticipated plan of care through discussions with treatment team/review of documentation.
• Works with third party payers to satisfy utilization review requests and obtain approval of stays.
• Participates in providing information on outliers for length of stay and recommending proactive solutions.
• Participates in denial management with CM Manager/Director with clinical information for denial reversals.
• Performs utilization review in accordance with UM Plan to include concurrent/retro reviews and verify admission/bed status.
• Proactive management of factors influencing length of stay using critical thinking skills minimizing variance days.
• Proactive monitoring of appropriate patient status with interaction with physician for to assure correct order early in admission.

Skills:

• 1 year of nursing or case management
• Working knowledge of regulatory requirements and accreditation standards, preferred

Float Requirements: Yes

Education:

• Associate Degree in Nursing is required. Bachelor’s degree in nursing is preferred.
• American Heart Association Basic Life Support (BLS)- Required
• State RN license or RN license from a participating state in the NLC- Required

Interested? Apply now!

About Pride Health:
Pride Health is Pride Global healthcare staffing branch, providing recruitment solutions for healthcare professionals and the industry at large since 2010.

Check out our website- https://pride-healthcare.com/careers-at-pride-health

Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

#GlobalDeliveryTravel