Travel Nurse RN - Case Manager - $2,166 per week in Alamogordo, NM

TravelNurseSource is working with Cynet Health to find a qualified Case Manager RN in Alamogordo, New Mexico, 88310!

Pay Information

$2,166 per week

About The Position

Job Title : Emergency Department Care Manager

Profession : Nursing / Social Work

Specialty : Case Management

Duration : 13 weeks

Shift : Night Shift

Hours per Shift : 8 hours

Experience : 3+ years of relevant clinical case / care management experience in an acute care setting required

License : RN or LMSW in the state of employment is required

Certifications : Case Manager certification preferred; BLS preferred

Must-Have : Familiarity with evidence-based medical necessity criteria sets required.

Description :

The Emergency Department Care Manager is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care.

Facilitates interdisciplinary care across the continuum for the Emergency Department.

Collaborates with the patient and / or family, multidisciplinary team, and physicians to ensure the patient's progress and level of care are appropriately determined.

Possesses well-developed knowledge and skill in patient status in inpatient and outpatient settings.

Collaborates with other care managers, social workers, and administrative leadership to determine the appropriate level of care.

Understands services and resources outside of the hospital that would benefit the patient and initiates referrals as indicated.

Includes patient assessment and management, resource management, identifying patients appropriate for admission, observation or outpatient status, care facilitation, and discharge planning.

Meets expectations of the applicable competencies : Leader of Self, Leader of Others, or Leader of Leaders.

Uses approved criteria to conduct patient assessments and admission clinical reviews to ensure the appropriateness of setting and timely implementation of the plan of care.

Performs reviews of anticipated admissions and placements in observation status using evidence-based criteria for appropriate level of care assignment.

Identifies patients for whom standard of care treatments could be safely rendered at home.

Screens appropriateness of admission including observation versus inpatient status.

Educates physicians and nurses about medical necessity and admission criteria.

Collaborates with treatment team members on documentation needs and opportunities.

Utilizes high-risk screening criteria to make appropriate community and post-ED referrals.

Initiates prior authorization processes when indicated for post-ED referrals and services.

Escalates discrepancies with the attending physician to a physician advisor when necessary.

Manages high-use patients and seeks alternatives for frequent ED visits.

Plans for discharges from the ED for patients who do not require admission, including arranging for home health and community resources.

Provides patient and family education and counseling related to existing health problems.

Anticipates barriers to care delivery and intervenes as necessary.

Intervenes concerning clinical and utilization issues to ensure optimal patient outcomes.

Coordinates and facilitates patient progression throughout the continuum.

Collaborates with all members of the interdisciplinary team to facilitate appropriate care coordination and delivery.

Analyzes clinical information and accurately applies clinical criteria.

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Job Requirements

Required for Onboarding

• BLS
• Pharmacology
• Skills Checklist
• Specialty Exam

About Cynet Health

Your travel nursing adventure begins here. Matching talented nurses like you with high-paying travel jobs at the best facilities across all 50 states. We offer the most competitive pay for every position we fill. We understand this is a partnership. You will have no surprises. Your salary will be discussed upfront and there will be no troubling negotiation tactics.