Travel RN - Case Management/Utilization Review - Case Management

American Traveler, LLC.

Peoria (IL)

On-site

USD 65,000 - 95,000

Full time

3 days ago
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Benefits offered by this job

Medical Insurance
Dental Insurance
Vision Insurance
401k Plan
Weekly Payroll
CEU Courses
Housing Allowance
Travel Reimbursements
Licensure Reimbursement
Per Diem Benefits
Traveler Discounts

Job summary

American Traveler is seeking a RN Case Manager for an acute Continuing Care Hospital in Illinois. The role requires an active IL RN license and 2 years of case management/discharge planning experience.

You will manage a caseload of LTAC and Rehab patients, using EPIC EMR and applying MCG criteria in utilization review. Monday–Friday, 8:00am–4:30pm, day shift, with occasional call; travel and licensure reimbursements are among the listed benefits.

Qualifications

  • Active IL RN license required (Social Worker or Clinical Social Worker license also accepted)
  • BLS certification (AHA) required
  • Minimum 2 years of experience required
  • Healthcare setting experience preferred, including discharge planning and care coordination in an acute hospital setting
  • Background in LTAC or Rehab preferred but not required
  • Strong computer skills including Microsoft Office proficiency
  • Strong analytical and problem-solving skills
  • Excellent interpersonal and verbal/written communication skills
  • Ability to interact with diverse populations
  • Ability to multitask and prioritize in a fast-paced environment
  • Basic understanding of acute and post-acute levels of care and resources

Responsibilities

  • Acute care setting within a Case Management/Utilization Review department at a Continuing Care Hospital
  • Covers Inpatient Physical Rehab and Long Term Acute Care (LTAC) populations
  • Patient population includes complex LTAC cases (vents, airways, IV antibiotics, respiratory, wounds, chronic/acute illness) and Rehab cases (neuro, amputation, cardiac, trauma, medical/surgical complex)
  • Caseload of approximately 13-25 patients per day
  • Uses EPIC EMR
  • MCG criteria used for utilization review, training provided if needed
  • Schedule is Monday through Friday, 8:00am-4:30pm, day shift, 8-hour shifts
  • No holiday coverage required
  • Occasional flexible call availability for questions
  • Team conferences held Monday through Friday for Rehab, with interdisciplinary rounding on LTAC (ICU Mondays, Med Surg Wednesdays)
  • Responsible for developing and managing individualized care plans for assigned patients from admission through discharge
  • Collaborates with patients, families, and multidisciplinary teams to support patient progression through the continuum of care
  • Manages length of stay and resource utilization in an efficient, cost-effective manner
  • Duties include interdisciplinary rounding, utilization review, insurance authorization, concurrent reviews, discharge planning, DME coordination, and post-discharge referrals
  • Coordinates home health vs. outpatient referrals, transportation, and other discharge resources
  • Assists with setting up ventilator facilities and coordinating pharmacy needs (including anticoagulants, IV antibiotics, and dialysis referrals) for discharge planning
  • Facilitates family meetings and discussions regarding advanced directives and surrogacy
  • Orientation includes facility and departmental training along with regulatory requirement review, with additional training provided for candidates without LTAC or Rehab experience
  • Dress code is scrubs or business casual, no colors
  • Local rate applies for clinicians residing within 50 miles of the facility
  • No radius restriction for eligibility
  • Negative drug screen required for all panels

Skills

Interpersonal skills
Verbal and written communication
Multitasking
Microsoft Office proficiency
Analytical and problem-solving
Diversity awareness

Tools

EPIC EMR

Job description

American Traveler is hiring a RN Case Manager for an acute Continuing Care Hospital, requiring an active IL RN license and 2 years of case management/discharge planning experience.

Requirements
  • Active IL RN license required (Social Worker or Clinical Social Worker license also accepted)
  • BLS certification (AHA) required
  • Minimum 2 years of experience required
  • Healthcare setting experience preferred, including discharge planning and care coordination in an acute hospital setting
  • Background in LTAC or Rehab preferred but not required
  • Strong computer skills including Microsoft Office proficiency
  • Strong analytical and problem-solving skills
  • Excellent interpersonal and verbal/written communication skills
  • Ability to interact with diverse populations
  • Ability to multitask and prioritize in a fast-paced environment
  • Basic understanding of acute and post-acute levels of care and resources
Responsibilities
  • Acute care setting within a Case Management/Utilization Review department at a Continuing Care Hospital
  • Covers Inpatient Physical Rehab and Long Term Acute Care (LTAC) populations
  • Patient population includes complex LTAC cases (vents, airways, IV antibiotics, respiratory, wounds, chronic/acute illness) and Rehab cases (neuro, amputation, cardiac, trauma, medical/surgical complex)
  • Caseload of approximately 13-25 patients per day
  • Uses EPIC EMR
  • MCG criteria used for utilization review, training provided if needed
  • Schedule is Monday through Friday, 8:00am-4:30pm, day shift, 8-hour shifts
  • No holiday coverage required
  • Occasional flexible call availability for questions
  • Team conferences held Monday through Friday for Rehab, with interdisciplinary rounding on LTAC (ICU Mondays, Med Surg Wednesdays)
  • Responsible for developing and managing individualized care plans for assigned patients from admission through discharge
  • Collaborates with patients, families, and multidisciplinary teams to support patient progression through the continuum of care
  • Manages length of stay and resource utilization in an efficient, cost-effective manner
  • Duties include interdisciplinary rounding, utilization review, insurance authorization, concurrent reviews, discharge planning, DME coordination, and post-discharge referrals
  • Coordinates home health vs. outpatient referrals, transportation, and other discharge resources
  • Assists with setting up ventilator facilities and coordinating pharmacy needs (including anticoagulants, IV antibiotics, and dialysis referrals) for discharge planning
  • Facilitates family meetings and discussions regarding advanced directives and surrogacy
  • Orientation includes facility and departmental training along with regulatory requirement review, with additional training provided for candidates without LTAC or Rehab experience
  • Dress code is scrubs or business casual, no colors
  • Local rate applies for clinicians residing within 50 miles of the facility
  • No radius restriction for eligibility
  • Negative drug screen required for all panels
Benefits
  • High Pay and Bonuses
  • Medical, Dental and Vision Insurance with Day 1 Options
  • 401(k) Plan
  • Weekly Payroll Deposit
  • Free Online CEUs
  • Generous Housing Allowance
  • Travel and Licensure Reimbursements
  • Non-taxed Per Diem and Subsidy
  • Traveler Rewards and Discounts

Job ID: P-764933

Open Positions: 1

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