Case Management RN — Care Coordination Lead (13-Week Contract)

Accede Solutions Inc (accedesolution.com); West Hollywood (CA); Presencial; USD 83.000 - 96.000; Jornada completa

Descripción de la vacante

Accede Solutions Inc. is seeking a Registered Nurse (RN) case manager for a West Hollywood, CA assignment.

The role focuses on coordinating patient care, developing care plans, and ensuring appropriate utilization and discharge planning within CMS and HIPAA guidelines. The position runs for 13 weeks with a strong possibility of extension, requires a CA RN license, active BLS, and at least two years of acute care case management experience.

Formación

• Active California RN license
• Minimum 2 years acute care case management experience
• CA CM experience; at least 6 months acceptable
• Current BLS certification
• Flu vaccination required; no exemptions
• Strong knowledge of care coordination, discharge planning, and utilization review
• Ability to work the day shift and maintain a flexible schedule

Responsabilidades

• Coordinate patient care with physicians, nurses, social workers and other health professionals
• Develop and implement individualized patient care plans
• Perform utilization review and evaluate medical necessity of care
• Apply InterQual criteria and Milliman guidelines for utilization management
• Ensure CMS regulations, HIPAA and healthcare standards compliance
• Review patient records to support appropriate care delivery
• Coordinate transportation and resources for safe patient discharge
• Support efficient patient transitions across healthcare settings

Conocimientos

RN license

Acute care case management

CA CM experience

BLS certification

Flu vaccination

Care coordination

Discharge planning

Utilization review

Flexible schedule

Herramientas

Epic EMR

Descripción del empleo

Accede Solutions Inc. is seeking a Registered Nurse (RN) case manager for a West Hollywood, CA assignment.

The role focuses on coordinating patient care, developing care plans, and ensuring appropriate utilization and discharge planning within CMS and HIPAA guidelines. The position runs for 13 weeks with a strong possibility of extension, requires a CA RN license, active BLS, and at least two years of acute care case management experience.