RN Case Manager
Charleston, WV
Prime Staffing
5x8 hrs

ID: 63216445 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Case Manager RN needs5x8hr shifts 0800-1630, weekdaysOrientation held every other week on Thursday35-40 patients covered per day2 Years of Experience Required - acute care experience requiredCerts Required: BLS1st Time Travelers AcceptedEvery other weekend requiredClinician can be floated within scope to meet facilities needs100mi. Radius Rule (75-99mi. can be sent for facility approval)WV/Compact RN License required - can submit with pending RN license40hrs guaranteedUnit Description:-Dress is business casual, requires a white lab coat/jacket when out on the floor.-Requires real-time documentation of assessments/notes for discharge planning.-This is not a utilization review/inpatient authorization, however may be the need to request authorizations for post-acute placement or discharge medications-Expectation is real time documentation during assessment-We use MCG (formerly Milliman Care Guidelines); we do not use InterQual. MCG experience is a plus-Discharge Planning and Care Coordination experience a plus and the main focus-DNV is our regulatory agency-Experience with Risk Assessments, SDOH a plus.Submission Requirements:Perm employees cannot return to CAMC as a traveler for 2 Years after last day worked permFlu Shot: Please DO NOT SEND ANYONE WHO REFUSES FLU SHOT WITHOUT MEDICAL PROOF. CAMC requires all personnel take flu vaccine unless they have allergy documented by an allergist or physician record. CAMC FLU SEASON IS OCTOBER 1st - MARCH 31st. NOT REQUIRED OUTSIDE OF THAT WINDOW.Covid Vaccine NOT required-All candidates are required to complete a fit test in advance using one of the approved masks.-The candidate s agency is responsible for coordinating and scheduling the fit test, with all available options explored.-Candidates may be required to travel up to 100 miles to complete the fit test.ONE PDF MUST CONTAIN: Candidate profile (work history), Specialty specific skills checklist, Min. 2 Mgr/Charge References (within past 2yrs.), RN Lic. verification (NURSYs pulled within 2 days of sub date clean lic. required hits submitted for case-by-case basis approval), Driver's License, SSN.Hospital Highlights: Short Term Acute CareType of Facility: Level 1 Trauma Center, Major teaching hospital; member of the Council of Teaching Hospitals and Health Systems (COTH)Total Staffed Beds: 855Scrub Color: business casual, requires white lab coat/jacket when out on floorCharting: CernerParking Cost: free for travelersREQ #: 71306; 71307; 71308 Modified Time:5/26/2026 12:00:00 AM Account Manager: Tori Dent Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Required - Medical Exemptions Only Submittals:Med Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Cerner Community Hospital Experience : Preferred LTAC Experience : - Trauma Level I Experience : Preferred Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS, CCM*Skills : Acute Hospital, Admission Criteria, Appeals and Denials*, Care coordination, CMS: Centers for Medicare and Medicaid Services, Concurrent Review*, Continued Stay Reviews*, Department of Health*, Determine Medical Necessity per Evidence-Based Guidelines*, Discharge Planning, DRG (Diagnosis Related Groups)*, Emergency Department, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICU, MS, NCQA (National Committee for Quality Assurance)*, Needs Assessment/ Order DME*, OSHA*, Pediatrics*, Plan of Care, Prior Authorizations*, The Joint Commission/ Core Measure/National Safety Goals*, Utilize Milliman Guidelines, Women s Services*, Risk Assessment*, Social Determinants of Health* Unit Details Staffing & Scheduling Scheduling Type : - Patient Ratios Days : - Patient Ratios Nights : - Patient Ratios Weekends : - Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 12 Facility & Patient Care Details Patient Age Groups : Adolescents, Adults, Pediatrics, Geriatrics Daily Census : 35-40 patients covered per day Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : Physical Therapy, Respiratory Services, Interpretation Services, Radiology, Social Services, Rapid Response Teams, Pharmacy Patient Diagnoses : Diagnoses vary by unit.Our department covers all three Charleston hospitals (General, Memorial, and Women & Children's). Assignment could be at any of these locations, likely, at General or Memorial. Special Procedures/Unit Details : Dress is business casual, requires a white lab coat/jacket when out on the floor.Requires real-time documentation of assessments/notes for discharge planning.This is not a utilization review/inpatient authorization.We use MCG (formerly Milliman Care Guidelines); we do not use InterQual.Discharge Planning and Care Coordination experience a plus.DNV is our regulatory agencyExperience with Risk Assessments, SDOH a plus. Special Equipment : - #Tier2 Travel Compliance SSN and DOB should be included on application at time of submittal RTO should be included on application at time of submittal Minimum 2 YEARS RN EXPERIENCE required WV OR COMPACT LICENSE - PENDING LICENSE ACCEPTABLE Candidates must have perm address greater than 100 miles from facility to submit! Facility will consider between 75 to 100 miles on a case-by-case basis. Rate will be the same. Minimum 2 Manager or Charge References within the past 2 years Certifications should be listed on application at time of submittal BLS, ACLS, PALS Certifications must be via American Heart Association, if the Certification is required by the unit. Any previous probationary actions on license will be considered on case-by-case basis. Perm employees CANNOT RETURN AS TRAVELERS FOR 2 YEARS AFTER LAST DATE WORKED PERM. Current Vandalia Health System employees: please note, if candidate is currently employed at any Vandalia Health System facility (CAMC Health Systems, Mon Health Systems, Davis Medical Center, Broaddus Hospital, Webster Memorial Hospital, Grafton City Hospital, Highland-Clarksburg Hospital, Minnie Hamilton Health System) working as perm, PRN, etc. they will not be eligible for a travel contract at this facility. This is a Health System policy that was set in place when the above health systems merged into Vandalia Health. FULL FILE IS DUE NOON MONDAY PRIOR TO START. Insufficient documentation will result in a 2-week push. Orientation is every other Thursday. Modules: Modules are non-billable, average 2-6 hours spent on modules Modules are completed prior to start, and modules vary by specialty Modules are recorded on a transcript and travelers get a certificate of completion to present to the compliance team Submittal Details: #Tier2 Travel ComplianceSSN and DOB should be included on application at time of submittalRTO should be included on application at time of submittalMinimum 2 YEARS RN EXPERIENCE requiredWV OR COMPACT LICENSE - PENDING LICENSE ACCEPTABLECandidates must have perm address greater than 100 miles from facility to submit! Facility will consider between 75 to 100 miles on a case-by-case basis. Rate will be the same.Minimum 2 Manager or Charge References within the past 2 yearsCertifications should be listed on application at time of submittalBLS, ACLS, PALS Certifications must be via American Heart Association, if the Certification is required by the unit.Any previous probationary actions on license will be considered on case-by-case basis.Perm employees CANNOT RETURN AS TRAVELERS FOR 2 YEARS AFTER LAST DATE WORKED PERM.Current Vandalia Health System employees: please note, if candidate is currently employed at any Vandalia Health System facility (CAMC Health Systems, Mon Health Systems, Davis Medical Center, Broaddus Hospital, Webster Memorial Hospital, Grafton City Hospital, Highland-Clarksburg Hospital, Minnie Hamilton Health System) working as perm, PRN, etc. they will not be eligible for a travel contract at this facility. This is a Health System policy that was set in place when the above health systems merged into Vandalia Health.FULL FILE IS DUE NOON MONDAY PRIOR TO START. Insufficient documentation will result in a 2-week push. Orientation is every other Thursday.Modules:Modules are non-billable, average 2-6 hours spent on modulesModules are completed prior to start, and modules vary by specialtyModules are recorded on a transcript and travelers get a certificate of completion to present to the compliance team Guaranteed Hours: Contract Weeks:91