Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Cambridge, Massachusetts.
Job Description & Requirements Shift: 40 hours per week
Usually M-F 8-4:30
Occasional weekend may be required
Primary Responsibilities:
1. Performs utilization review and discharge planning to inpatient admissions to MAH.
2. Applies InterQual Inpatient criteria approved by the MACIPA (risk) and MAH (non-risk) Utilization Management Committees to accurately determine appropriateness for inpatient and outpatient care.
3. Communicates with attending and house staff when options to inpatient care are identified.
4. Utilizes clinical expertise to determine the appropriate level of care for patients. Leads the healthcare team in selecting appropriate, safe, hospital or alternative care options.
5. Works with MAH nursing and social work staff to coordinate and facilitate patient discharge.
6. Identifies days not meeting acute hospital level of care criteria and reports them to the physician reviewer.
7. Works with patients and families to facilitate post hospital care and develop plans to meet short and long-term needs.
8. Accurately manages observation status patients by working with physicians to ensure appropriate utilization.
9. Is part of the department's Saturday, holiday and beeper rotation as needed.
10. Adheres to all insurance, contractual, and regulatory requirements as mandated.
11. Abides by MACIPA Case Management standards as per the MACIPA CM guidelines.
Epic experience preferred
About Prime StaffingAt Prime Staffing, we understand the importance of finding the perfect fit for both our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing the most qualified contingent staffing to our clients, and the most competitive contracts to our workforce. Our experienced team takes the time to get to know both our clients and candidates, their needs, and preferences, to ensure that each placement is a success.
We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire placements. Our extensive network of qualified candidates includes nurses, allied healthcare professionals, corporate support professionals and executives.
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