Travel Case Manager

Careers On Demand; Grand Junction (CO); On-site; USD 110,834 - 138,232; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Education assistance

403(b) with employer matching

Job summary

A healthcare company in Grand Junction is seeking an RN Case Manager to oversee the CWHS Case Management Plan. This full-time role involves collaborating with diverse teams to ensure high-quality patient care while maintaining regulatory compliance. The ideal candidate will have an Associate’s Degree in Nursing, several years of clinical and case management experience, and a current Colorado RN license. Attractive benefits include medical, dental, and education assistance.

Qualifications

• At least three years of clinical experience in a hospital setting.
• At least two years of case management experience in a hospital setting.
• Current unrestricted Registered Nurse license in the State of Colorado.
• Willingness to obtain Case Management certification within 3 years.

Responsibilities

• Maintain and improve the case management system with patient interactions.
• Assist in providing care that is appropriate and cost-efficient.
• Coordinate clinical review requests for timely payments.
• Participate in departmental meetings related to case management.

Skills

Advocacy

Communication

Collaboration

Resource Management

Education

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing (preferred)

Job description

$2737/Weekly Gross: $1680/Week Taxable ($42/hr), $1057/Week Tax Free Stipends, Up to $600 for Travel Reimbursement Included. 56 cents per mile up to $300 each way. Paid out 2nd pay check and last pay check. Mileage calculated based on permanent address to facility address. $15/hr for Orientation 26 weeks ***6 month contracted position

The Job

Under general supervision is responsible for ongoing development, implementation, and evaluation of processes of the CWHS Case Management Plan. The Case Management function is a highly collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client/patient’s health and human services needs. The RN Case Manager provides advocacy, communication, collaboration, resource management, and education to interdisciplinary team members of CWHS. Responsible for conducting admission and concurrent review of patients, assessing appropriate level of care and medical necessity, assessing patient discharge needs and provision of services necessary to facilitate a safe and timely discharge. Effective allocation of the hospital’s resources while encouraging provision of high quality patient care is essential in this role. Is cognizant of regulations and policies of all review organizations relating to billing of the fiscal intermediaries and implements processes and changes to meet the Federal/State regulations and CMS Conditions of Participation. Work Schedule: Full Time

Responsibilities

• Maintain and improve the case management system using ongoing interaction with patients, physicians, and other health providers to meet designated clinical, operational, and financial outcomes for aggregate patient populations.
• Assist physicians, patients, families, staff and payers in providing care for patient populations that is appropriate, effective, and cost efficient.
• Coordinate clinical review requests from payer sources to ensure timely reviews and ultimately timely payments to the hospital.
• Attend and actively participate in all departmental and interdepartmental meetings relative to Case Management/Social Services/Discharge Planning functions.

Requirements

• Associate’s Degree in Nursing (Bachelor’s preferred)
• At least three (3) years of clinical experience in a hospital setting and at least two (2) years of case management experience in a hospital setting
• Certification in case management (preferred)
• Current unrestricted Registered Nurse license in the State of Colorado (required)
• Willingness to obtain Case management certification within 3 years

Benefits

Employees are eligible to participate in an attractive benefits package including medical, dental, vision, paid time off, education assistance, 403(b) with employer matching, and more. Eligibility is based on employment status. Details regarding specific benefit you may be eligible for will be discussed during the hiring process. Discretionary bonuses, relocation expenses, merit increases, market adjustments, recognition bonuses and other forms of discretionary compensation may be paid to eligible employees based upon organizational and individual performance.

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Position Urgency

Normal