Hospital Registered Nurse Case Manager

Healthcare Support Staffing; Moreno Valley (CA); On-site; USD 75,000 - 95,000; Full time

Job summary

A healthcare staffing agency in California is seeking professionals to coordinate patient admissions and discharge planning. Ideal candidates must have at least 2 years of experience in an acute care facility and knowledge of Interqual guidelines. Responsibilities include evaluating medical records, assisting with admissions, and coordinating multi-disciplinary services. The position requires weekday day shifts and occasional weekends. Interested individuals can apply by sending their resumes directly to the contact provided.

Qualifications

• 2 years of recent experience in an acute care facility.
• Ability to evaluate the medical records of hospital admissions.
• Must have Interqual knowledge.

Responsibilities

• Coordinate and monitor patients through the hospitalization process.
• Assist in problem resolution regarding appropriate admissions.
• Act as a resource/advisor for medical record documentation.

Skills

Medical record evaluation

Interqual knowledge

Medicare/Medicaid experience

Knowledge of community resources

Understanding patient disease processes

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non‑clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long‑lasting and rewarding career!

Job Description

• Interviewing and hiring immediately!
• Coordinates and monitors patients through the hospitalization process utilizing physicians, primary care nurses, and third party payors to maintain quality care and fiscal responsibility.
• Assists the admitting department in identifying and resolving problems regarding appropriate admissions.
• Acts as a resource/advisor to physicians for adequate medical record documentation, appropriateness of facility services as they relate to diagnoses, and options for post‑discharge care.
• Reviews the post hospital care plan with the patient/family. Establishes a contract regarding time frames and responsibilities. Follows plan through to discharge.
• Utilizes community services to provide optimal discharge planning, monitors/expedites timely completion of services to avoid delays in care or discharge, facilitate third party reimbursement approval and/or authorization, conducts post‑discharge activities and documentation, responsible for completion and interpretation of patient statistical reporting.
• Coordinates with multi‑disciplines to include Dietary, Physical Therapy, Occupational Therapy, Speech, Social Services, Infection Control, etc., to insure efficient use of hospital resources.
• Answers questions from patients and their families, including providers regarding reimbursement of covered and non‑covered services.
• Hours for this Position:
• Monday – Friday Day time shift – Every other weekend required

Qualifications

• 2 years of recent experience in an acute care facility
• Ability to evaluate the medical records of hospital admissions
• Must have Interqual
• Payor - Medicare/Medical exp, private insurance experience
• knowledge of patient disease processes and usual methods for treating them
• knowledge of community resources; acute care hospital organization and the interrelationship of various clinical diagnostic services

Additional Information

INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your resume to Kurt Hughes directly at [e-mail]

All your information will be kept confidential according to EEO guidelines.