Soloh Partners is seeking a travel nurse RN Care Manager for a travel nursing job in Brooklyn, New York.
Job Description & Requirements Position: IMC - RN - Case Manager Nurse
Location: Brooklyn, NY
Pay Rate: $ 68/hr
Schedule: MON - FRI 5 days per week X 8 hours per day
Duties:
- Performs face-to-face visits with patients that need assessment of physical, mental, and emotional barriers that prohibit self-care, prompt medical management assistance in the community, and initiation of referrals to social work by using nursing clinical judgment
- An interdisciplinary care team member responsible for daily EHR review of patient's medical necessity (severity of illness and intensity of service); either in bedside rounds, or Interdisciplinary team rounds
- Collaborate with social workers on identification on any social determinants of health domains, that could impede patients' health outcomes
- Functions as a liaison between Physicians and Physician Advisors
- Demonstrates the ability to correlate medical necessity (severity of illness and intensity of service) in achieving financial and quality care outcomes
- Monitors the electronic health records (EHR) daily or as needed, for assigned patients, and complete clinical documentation pertaining to hospitalization for submission to insurance companies (Initial, Concurrent or Retroactive)
- Reviews all HMO admissions for medical necessity and submit to HMO
- Reviews admissions for medical necessity (severity of illness and intensity of service) within forty-eight hours of admission
- Knowledge of Milliman Care Guidelines
- Knowledge of CMS guidelines for post-acute plaements
- Communicate with Attending Physicians on admission guidelines
- Provide real time interventions to prevent delays and ensure compliance and revenue integrity with health care regulations
Soloh Partners Job ID #T31630366. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: IMC - RN - Case Manager Nurse
About Soloh PartnersWHO WE ARE
How you project yourself in the world says a lot about you. So, what do we think is important for you to know about us? Soloh Partners is proud to be a certified women-owned business. We are committed to diversity, equity and inclusion. We are driven by our passion for service: service to our clients & their mission and service to our candidates and employees. We believe in making things personal. It isn’t just business for us. This is about shaping careers and building an engaged workforce. To be successful at either you, need to be invested in both.
OUR MISSION
Our mission is to be recognized by our clients as an indispensable partner in their pursuit of high-impact Talent. We succeed by creating and maintaining intensely caring and mutually rewarding relationships with our internal employees, candidates and contingent workforce. We aren’t just a staffing agency; we fancy ourselves creatives. We create opportunity. We create excitement. We create and foster relationships built on trust, and partnerships based on mutual respect and understanding.
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