Registered Nurse at Referral Management Center

AIMS Locum Tenens; Nellis Air Force Base Census-Designated Place (NV); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

401(k)

Competitive salary

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

AIMS Locum Tenens is seeking an experienced Registered Nurse – Referral Management Center/Transition Nurse to coordinate patient transitions between MOMMC, Nellis AFB, NV and NLVVAMC, North Las Vegas, NV.

The RN works with physicians, nurses, case managers, social workers, insurers, patients and families to ensure safe, timely, and cost-effective transitions of care.

Qualifications

• Bachelor of Science in Nursing (BSN) from a nursing program accredited by a nationally recognized accrediting agency.

Responsibilities

• Coordinate discharge requirements and follow-up appointments, including DME, Home Health Care, and community services.
• Coordinate inpatient transfers and continuity of care between MOMMC and NLVVAMC.
• Work with TRICARE MCSC and third-party payers to obtain authorization for post-discharge needs.
• Verify insurance benefits and assist providers with referrals and services.
• Educate patients/families about discharge options, interfacility transfers, and post-discharge resources.
• Educate providers and staff regarding discharge planning and interfacility transfers.

Skills

Discharge planning

Interdisciplinary collaboration

Healthcare coordination

Education and training

Education

BSN degree

Job description

Benefits

• 401(k)
• Competitive salary
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Job Overview

AIMS Locum Tenens is seeking an experienced Registered Nurse – Referral Management Center/Transition Nurse to coordinate patient transitions and discharge planning between Mike O'Callaghan Military Medical Center (MOMMC), Nellis AFB, NV & North Las Vegas Veterans Affairs Medical Center (NLVVAMC), North Las Vegas, NV. The RN works closely with physicians, nurses, case managers, social workers, insurance organizations, patients, and families to ensure safe, timely, and cost-effective transitions of care.

Key Duties

• Coordinate discharge requirements, including DME, Home Health Care, community services, specialty referrals, medications, and follow-up appointments.
• Ensure patients and caregivers receive appropriate discharge instructions and post-discharge resources.
• Coordinate inpatient transfers and continuity of care between facilities.
• Work with TRICARE MCSC and third-party payers to obtain authorization for post-discharge needs.
• Verify insurance benefits and assist providers with appropriate referrals and services.
• Educate patients/families about skilled nursing facilities, group homes, community resources, and other appropriate care options.
• Educate providers and staff regarding discharge planning and interfacility transfers.
• Apply knowledge of safe discharge, medical necessity, utilization review, InterQual/Milliman, EMTALA and COBRA requirements.
• Analyze treatment plans for appropriateness and support cost-effective patient care.
• Participate in committees, process-improvement activities, staff education, and orientation.
• If not fully utilized at NLVVAMC, provide nursing support in the MOMMC Emergency Department or backup support for House Supervisors/Discharge Planners.

Qualifications

Degree/Education: Bachelor of Science in Nursing (BSN) from a nursing program accredited by a nationally recognized accrediting agency.

Experience: Minimum 5 years total nursing experience, with the most recent 3 years in direct patient care in a hospital as a Discharge Planner, Case Manager, Nurse Navigator, House Supervisor, or equivalent.

Licensure: Current, full, active, and unrestricted RN license in an authorized U.S. jurisdiction.

Knowledge: Strong understanding of discharge planning, utilization management, medical necessity, TRICARE, Medicare, Medicaid, VA/private insurance, third-party collections, InterQual/Milliman criteria, EMTALA/COBRA, and healthcare reimbursement processes.

Schedule

This is a hybrid role between NLVVAMC and MOMMC. The workweek runs Sunday through Saturday with coverage scheduled according to mission requirements 24 hours a day. Shifts may be 4, 8, 10, or 12 hours, not exceeding 80 hours per two-week period. No on-call.

Work Environment

This is a fast-paced hospital-based care transition and referral management position working between a military medical center and VA medical center. The RN spends significant time coordinating discharges, referrals, transfers, insurance authorizations, and follow-up care while communicating with patients, families, physicians, nurses, case managers, social workers, and insurance organizations.

Health & Other Requirements

Must meet all DHA/MTF occupational health, immunization, credentialing, and security/access requirements and maintain required RN licensure and certifications. Must comply with infection control, patient safety, privacy, and facility policies at both MOMMC and NLVVAMC.