What are the responsibilities and job description for the Registered Nurse - Case Manager position at TALENT Software Services?
Duties
- Perform care coordination and discharge planning for patients.
- Organize and participate in family meetings.
- Develop and implement treatment plans.
- Coordinate with interdisciplinary teams for comprehensive patient care.
- Arrange Durable Medical Equipment (DME), Skilled Nursing Facility (SNF), and ambulance transport independently.
- Utilize computerized documentation systems effectively.
- Float to the Laguna Facility as needed.
- Participate in weekend rotations as required.
- Acute Hospital Case Management/Utilization Review
- Appeals and Denials
- Care Coordination
- Disability Case Management
- Discharge Planning
- Disease Management
- Needs Assessment/Order DME
- Plan of Care
- Worker’s Comp Case Management
- Regulatory Knowledge: CMS, Department of Health, DRG, HIPAA, OSHA, The Joint Commission
- Experience with HMOs, IPAs, and related healthcare systems
- Knowledge of adoption/foster care, drug/alcohol abuse treatment, mental health crisis management, and protective services processes
- 2 years of acute medical Care Manager experience in care coordination.
- Travel experience is required.
- Experience in Trauma Level I and II is preferred.
- Experience in Emergency Department, ICU, and Surgical Services is preferred.
- Experience in teaching and community hospitals is beneficial.
- Proficiency with the Epic charting system is required.
Salary : $55 - $60